Dr Kelli M Littlejohn, DNP, FNP-C is a medicare enrolled "Nurse Practitioner" in Shaker Hts, Ohio. Her current practice location is
14108 Becket Rd, Shaker Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 262-0155.
Dr Kelli M Littlejohn is licensed to practice in Ohio (license number APRN.CNP.0033525) 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 1194115048.
Provider's Profile
| Full Name | Dr Kelli M Littlejohn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 14108 Becket Rd, Shaker Hts, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194115048
- Provider Enumeration Date: 01/30/2015
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971954074
- Enrollment ID: I20240112000743
Medical Identifiers
Medical identifiers for Dr Kelli M Littlejohn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194115048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN.CNP.0033525 (Ohio) | Primary |
| 163W00000X | Registered Nurse | 390024 (Ohio) | Secondary |
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. Dr Kelli M Littlejohn allows following entities to bill medicare on her behalf.
| Entity Name | Dr Miodrag Zivic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437557782
PECOS PAC ID: 9739405457
Enrollment ID: O20150224000173 |
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| Entity Name | Great Lakes Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184091712
PECOS PAC ID: 4183932072
Enrollment ID: O20150925000885 |
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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. Dr Kelli M Littlejohn 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 |
|---|
Dr Kelli M Littlejohn, DNP, FNP-C
14108 Becket Rd,
Shaker Hts, OH 44120-2825
Ph: (216) 262-0155 | Dr Kelli M Littlejohn, DNP, FNP-C
14108 Becket Rd,
Shaker Hts, OH 44120-2825
Ph: (216) 262-0155 |
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