Mitchell Grayson Kelly, AGACNP in Dallas, TX - Medicare Nurse Practitioner

Mitchell Grayson Kelly, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Dallas, Texas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Texas Southwestern Medical Center and his current practice location is 5323 Harry Hines Blvd Mailcode 8590, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 645-2621.

Mitchell Grayson Kelly is licensed to practice in Texas (license number AP138687) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134696453.

Contact Information

	Mitchell Grayson Kelly, AGACNP
	5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001
	(214) 645-2621
	Not Available

Map and Direction

Provider's Profile

Full Name	Mitchell Grayson Kelly
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	5323 Harry Hines Blvd Mailcode 8590, Dallas, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitchell Grayson Kelly graduated from nursing school in 2017

NPI Data:

NPI Number: 1134696453
Provider Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 7719224500
Enrollment ID: I20190201001284

Medical Identifiers

Medical identifiers for Mitchell Grayson Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134696453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP138687 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Southwestern University Hospital - William P. Clements Jr.	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Texas Southwestern Medical Center	0648188250	2569

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. Mitchell Grayson Kelly allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Mitchell Grayson 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
Mitchell Grayson Kelly, AGACNP 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 Ph: (361) 232-7638	Mitchell Grayson Kelly, AGACNP 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 Ph: (214) 645-2621

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Mitchell Grayson Kelly, AGACNP - Medicare Nurse Practitioner in Dallas, TX