Mr Kelly Henry, NNP in Riverdale, GA - Medicare Nurse Practitioner

Mr Kelly Henry, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Riverdale, Georgia. His current practice location is 11 Upper Riverdale Rd Sw, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 991-8000.

Mr Kelly Henry is licensed to practice in Georgia (license number RN235639) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245724723.

Contact Information

	Mr Kelly Henry, NNP
	11 Upper Riverdale Rd Sw, Riverdale, GA 30274
	(770) 991-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kelly Henry
Gender	Male
Speciality	Nurse Practitioner - Neonatal
Location	11 Upper Riverdale Rd Sw, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245724723
Provider Enumeration Date: 06/19/2018
Last Update Date: 11/13/2018

Medicare PECOS Information:

PECOS PAC ID: 9931547999
Enrollment ID: I20240410000112

Medical Identifiers

Medical identifiers for Mr Kelly Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245724723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN235639 (Georgia)	Secondary
163WN0002X	Registered Nurse - Neonatal Intensive Care	RN235639 (Georgia)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	RN235639 (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. Mr Kelly Henry allows following entities to bill medicare on his behalf.

Entity Name	Hugh Chatham Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447373063 PECOS PAC ID: 2062311442 Enrollment ID: O20040717000340

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. Mr Kelly Henry 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
Mr Kelly Henry, NNP 272 W Mcintosh Rd, Brooks, GA 30205-2113 Ph: (404) 604-6279	Mr Kelly Henry, NNP 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Ph: (770) 991-8000

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, GA

Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869

Mr Kelly Henry, NNP - Medicare Nurse Practitioner in Riverdale, GA