Mrs Caitlin Marie Kelly, AG-ACNP in Saint Clair Shores, MI

Mrs Caitlin Marie Kelly, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Clair Shores, Michigan. Her current practice location is 29001 Harper Ave, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 778-0664.

Mrs Caitlin Marie Kelly is licensed to practice in Michigan (license number 4704299955) 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 1629581970.

Contact Information

	Mrs Caitlin Marie Kelly, AG-ACNP
	29001 Harper Ave, Saint Clair Shores, MI 48081-2711
	(586) 778-0664
	(586) 778-0396

Map and Direction

Provider's Profile

Full Name	Mrs Caitlin Marie Kelly
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	29001 Harper Ave, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629581970
Provider Enumeration Date: 11/08/2017
Last Update Date: 04/23/2019

Medicare PECOS Information:

PECOS PAC ID: 2860750148
Enrollment ID: I20171214000066

Medical Identifiers

Medical identifiers for Mrs Caitlin Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629581970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704299955 (Michigan)	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 Caitlin Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Kidney Care Specialists Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588960298 PECOS PAC ID: 5597940080 Enrollment ID: O20110427000316

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 Caitlin Marie 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
Mrs Caitlin Marie Kelly, AG-ACNP 30025 Champine St, Saint Clair Shores, MI 48082-1653 Ph: (586) 504-0296	Mrs Caitlin Marie Kelly, AG-ACNP 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 Ph: (586) 778-0664

Reviews and Comments

Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22213 Love St, Saint Clair Shores, MI 48082 Phone: 734-626-4672
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070

Mrs Caitlin Marie Kelly, AG-ACNP - Medicare Nurse Practitioner in Saint Clair Shores, MI