Keeley Lynn Phelps, CRNP in Corry, PA - Medicare Nurse Practitioner

Keeley Lynn Phelps, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Corry, Pennsylvania. Her current practice location is 965 Shamrock Ln, Corry, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 665-8288.

Keeley Lynn Phelps is licensed to practice in Pennsylvania (license number SP019533) 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 1356819692.

Contact Information

	Keeley Lynn Phelps, CRNP
	965 Shamrock Ln, Corry, PA 16407-1196
	(814) 665-8288
	(814) 664-8618

Map and Direction

Provider's Profile

Full Name	Keeley Lynn Phelps
Gender	Female
Speciality	Nurse Practitioner - Family
Location	965 Shamrock Ln, Corry, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356819692
Provider Enumeration Date: 11/05/2018
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0547694911
Enrollment ID: I20231215003446

Medical Identifiers

Medical identifiers for Keeley Lynn Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356819692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP019533 (Pennsylvania)	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. Keeley Lynn Phelps allows following entities to bill medicare on her behalf.

Entity Name	Corry Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255967956 PECOS PAC ID: 3971581174 Enrollment ID: O20201211000131

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. Keeley Lynn Phelps 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
Keeley Lynn Phelps, CRNP 1 Lecom Pl, Erie, PA 16505-2571 Ph: (814) 868-2507	Keeley Lynn Phelps, CRNP 965 Shamrock Ln, Corry, PA 16407-1196 Ph: (814) 665-8288

Reviews and Comments

Nurse Practitioner Nurses in Corry, PA

Tina Hawley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 York St, Corry, PA 16407 Phone: 814-665-8288 Fax: 814-664-8618
Debra R Shreve, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686 Fax: 814-664-9826
Jenna Louise Chase, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Shamrock Ln, Corry, PA 16407 Phone: 814-665-8288 Fax: 814-664-8618
Lisa Hewitt Zarger, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686
Carol Weilacher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686 Fax: 814-664-9826
Cheryl A Mongera, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 York St, Suite B, Corry, PA 16407 Phone: 814-664-3979 Fax: 814-663-4879

Keeley Lynn Phelps, CRNP - Medicare Nurse Practitioner in Corry, PA