Mr Michael Thomas Kelley, NP in Martinsburg, WV

Mr Michael Thomas Kelley, NP is a medicare enrolled "Nurse Practitioner - Family" in Martinsburg, West Virginia. His current practice location is 99 Tavern Rd, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-4999.

Mr Michael Thomas Kelley is licensed to practice in West Virginia (license number 103811) 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 1447354147.

Contact Information

	Mr Michael Thomas Kelley, NP
	99 Tavern Rd, Martinsburg, WV 25401-2890
	(304) 263-4999
	(304) 263-0984

Map and Direction

Provider's Profile

Full Name	Mr Michael Thomas Kelley
Gender	Male
Speciality	Nurse Practitioner - Family
Location	99 Tavern Rd, Martinsburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447354147
Provider Enumeration Date: 09/12/2006
Last Update Date: 07/17/2019

Medicare PECOS Information:

PECOS PAC ID: 7911189949
Enrollment ID: I20190830001759

Medical Identifiers

Medical identifiers for Mr Michael Thomas Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447354147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA2000X	Registered Nurse - Administrator	170876 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	103811 (West Virginia)	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 Michael Thomas Kelley allows following entities to bill medicare on his behalf.

Entity Name	Shenandoah Valley Medical System, Inc
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1083617823 PECOS PAC ID: 9739093097 Enrollment ID: O20031119000556

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 Michael Thomas Kelley 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 Michael Thomas Kelley, NP Po Box 1146, Martinsburg, WV 25402-1146 Ph: (304) 263-4999	Mr Michael Thomas Kelley, NP 99 Tavern Rd, Martinsburg, WV 25401-2890 Ph: (304) 263-4999

Reviews and Comments

Nurse Practitioner Nurses in Martinsburg, WV

Mary Lynne Perkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Street Of Dreams, Martinsburg, WV 25401 Phone: 304-263-4927 Fax: 304-263-0682
Matthew Greeley, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 S Water St, Martinsburg, WV 25401 Phone: 304-263-8954
Pamela Campbell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Sushruta Dr, Ste A, Martinsburg, WV 25401 Phone: 304-449-3778
Molly Anna Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 299 Medical Ct, Martinsburg, WV 25401 Phone: 304-596-6343 Fax: 304-263-4449
Dr. Annie Marie Thrift Mann, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Campus Dr Ste 101, Martinsburg, WV 25404 Phone: 681-247-1250 Fax: 681-247-1251
Mrs. Kenya Darshell Dottery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811
Lori Prunty, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 240-385-2156

Mr Michael Thomas Kelley, NP - Medicare Nurse Practitioner in Martinsburg, WV