Mr Kevin George Kelly, APN, C in Wood Ridge, NJ

Mr Kevin George Kelly, APN, C is a medicare enrolled "Nurse Practitioner" in Wood Ridge, New Jersey. His current practice location is 331 North Ave, Wood Ridge, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 939-0409.

Mr Kevin George Kelly is licensed to practice in New Jersey (license number 26NN10175200) 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 1184762627.

Contact Information

	Mr Kevin George Kelly, APN, C
	331 North Ave, Wood Ridge, NJ 07075-2035
	(201) 939-0409
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin George Kelly
Gender	Male
Speciality	Nurse Practitioner
Location	331 North Ave, Wood Ridge, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184762627
Provider Enumeration Date: 02/04/2007
Last Update Date: 08/13/2007

Medicare PECOS Information:

PECOS PAC ID: 1951495662
Enrollment ID: I20070925000473

Medical Identifiers

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

Identifier	Type	State	Issuer
1184762627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NN10175200 (New Jersey)	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 Kevin George Kelly allows following entities to bill medicare on his behalf.

Entity Name	Nbimc Department Of Internal
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114985702 PECOS PAC ID: 7113814401 Enrollment ID: O20040302000344

Entity Name	Emergency Associates Of Montclair Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598112146 PECOS PAC ID: 0244522241 Enrollment ID: O20160712002716

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 Kevin George 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
Mr Kevin George Kelly, APN, C 331 North Ave, Wood Ridge, NJ 07075-2035 Ph: (201) 939-0409	Mr Kevin George Kelly, APN, C 331 North Ave, Wood Ridge, NJ 07075-2035 Ph: (201) 939-0409

Reviews and Comments

Nurse Practitioner Nurses in Wood Ridge, NJ

Daniela Pisacane, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Valley Blvd Ste 1, Wood Ridge, NJ 07075 Phone: 201-438-5500
Lauren Garcia, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 389 Highland Ave, Wood Ridge, NJ 07075 Phone: 201-951-1670
John Jines, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Union St, Wood Ridge, NJ 07075 Phone: 615-517-0920
Maria Estella Cortes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 253 Floral Ln, Wood Ridge, NJ 07075 Phone: 201-935-4336
Sevara Ruzehaji, DNP, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Wesmont Dr, Wood Ridge, NJ 07075 Phone: 201-856-8117

Mr Kevin George Kelly, APN, C - Medicare Nurse Practitioner in Wood Ridge, NJ