Mrs Kayla Jean Kelley, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coal Grove, Ohio. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Mental Health Center Inc and her current practice location is
225 Carlton Davidson Ln, Coal Grove, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 533-6280.
Mrs Kayla Jean Kelley is licensed to practice in Kentucky (license number 3015926) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013594332.
Provider's Profile
| Full Name | Mrs Kayla Jean Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 225 Carlton Davidson Ln, Coal Grove, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kayla Jean Kelley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1013594332
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890103782
- Enrollment ID: I20211208000022
Medical Identifiers
Medical identifiers for Mrs Kayla Jean Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013594332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3015926 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shawnee Mental Health Center Inc | 7012902075 | 18 |
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 Kayla Jean Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20180531001919 |
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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 Kayla Jean 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 |
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Mrs Kayla Jean Kelley, PMHNP
2015 Woodland Ave,
Ashland, KY 41101-3744
Ph: (740) 646-2402 | Mrs Kayla Jean Kelley, PMHNP
225 Carlton Davidson Ln,
Coal Grove, OH 45638-2924
Ph: (740) 533-6280 |
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