Mrs Alyssa Brooke Kellams, NP in Bedford, IN - Medicare Nurse Practitioner

Mrs Alyssa Brooke Kellams, NP is a medicare enrolled "Nurse Practitioner - Family" in Bedford, Indiana. Her current practice location is 2418 16th St, Bedford, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 508-8683.

Mrs Alyssa Brooke Kellams is licensed to practice in Indiana (license number 71008512A) 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 1023585569.

Contact Information

	Mrs Alyssa Brooke Kellams, NP
	2418 16th St, Bedford, IN 47421-3049
	(812) 508-8683
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alyssa Brooke Kellams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2418 16th St, Bedford, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023585569
Provider Enumeration Date: 11/01/2018
Last Update Date: 11/01/2018

Medicare PECOS Information:

PECOS PAC ID: 1052665791
Enrollment ID: I20181114003639

Medical Identifiers

Medical identifiers for Mrs Alyssa Brooke Kellams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023585569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71008512A (Indiana)	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. Mrs Alyssa Brooke Kellams allows following entities to bill medicare on her behalf.

Entity Name	Fc Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260

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. Mrs Alyssa Brooke Kellams 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
Mrs Alyssa Brooke Kellams, NP 51 S Ballard Ln, French Lick, IN 47432-9351 Ph: (812) 528-2351	Mrs Alyssa Brooke Kellams, NP 2418 16th St, Bedford, IN 47421-3049 Ph: (812) 508-8683

Reviews and Comments

Nurse Practitioner Nurses in Bedford, IN

Mr. Tyler Lee White, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331
Jamie R Bohnke, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374
Jennifer Hoyt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-489-2271 Fax: 812-666-4355
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469

Mrs Alyssa Brooke Kellams, NP - Medicare Nurse Practitioner in Bedford, IN