Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC in Chattanooga, TN

Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Chattanooga, Tennessee. Her current practice location is 4411 Oakwood Dr, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 892-4289.

Mrs Angela Denise Kitchens Kelley is licensed to practice in Tennessee (license number APN0000018133) 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 1184845505.

Contact Information

	Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC
	4411 Oakwood Dr, Chattanooga, TN 37416-2367
	(423) 892-4289
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Angela Denise Kitchens Kelley
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	4411 Oakwood Dr, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184845505
Provider Enumeration Date: 05/02/2007
Last Update Date: 03/30/2016

Medicare PECOS Information:

PECOS PAC ID: 3274670344
Enrollment ID: I20170412000908

Medical Identifiers

Medical identifiers for Mrs Angela Denise Kitchens Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184845505	NPI	-	NPPES
103G709374	Other	TN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN085412 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APN0000018133 (Tennessee)	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 Angela Denise Kitchens Kelley allows following entities to bill medicare on her behalf.

Entity Name	Tennessee Health Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326603911 PECOS PAC ID: 0840625984 Enrollment ID: O20200116003126

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 Angela Denise Kitchens 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
Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC 4411 Oakwood Dr, Chattanooga, TN 37416-2367 Ph: (423) 892-4289	Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC 4411 Oakwood Dr, Chattanooga, TN 37416-2367 Ph: (423) 892-4289

Reviews and Comments

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Mrs Angela Denise Kitchens Kelley, RN, MSN, GNP-BC - Medicare Nurse Practitioner in Chattanooga, TN