Michele Poole Kelly, CNM in Gainesville, GA - Medicare Advanced Practice Midwife

Michele Poole Kelly, CNM is a medicare enrolled "Advanced Practice Midwife" in Gainesville, Georgia. Her current practice location is 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 219-9445.

Michele Poole Kelly is licensed to practice in Georgia (license number RN093663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346596921.

Contact Information

	Michele Poole Kelly, CNM
	1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806
	(770) 219-9445
	Not Available

Map and Direction

Provider's Profile

Full Name	Michele Poole Kelly
Gender	Female
Speciality	Advanced Practice Midwife
Location	1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346596921
Provider Enumeration Date: 08/01/2012
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6406803535
Enrollment ID: I20050331001172

Medical Identifiers

Medical identifiers for Michele Poole Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346596921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	RN093663 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michele Poole Kelly allows following entities to bill medicare on her behalf.

Entity Name	Northeast Georgia Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michele Poole Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michele Poole Kelly, CNM Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420	Michele Poole Kelly, CNM 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 Ph: (770) 219-9445

Reviews and Comments

Advanced Practice Midwife Nurses in Gainesville, GA

Vivian Clare Gradin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Amanda Turner Driskell, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Ruth Sherry, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Destiny D Gilder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Diane S Tandy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-536-0149 Fax: 770-536-0317
Sally A. Monroe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Kimberly Patton Blasingame, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139

Michele Poole Kelly, CNM - Medicare Advanced Practice Midwife in Gainesville, GA