Miss Kelli Lynn Hanks, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Winlock, Washington. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis County Community Health Services and her current practice location is
100 Cedar Crest Dr, Winlock, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 785-9400.
Miss Kelli Lynn Hanks is licensed to practice in Washington (license number AP61161837) 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 1962041996.
Provider's Profile
| Full Name | Miss Kelli Lynn Hanks |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 100 Cedar Crest Dr, Winlock, Washington |
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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:
- Miss Kelli Lynn Hanks graduated from nursing school in 2020
NPI Data:
- NPI Number: 1962041996
- Provider Enumeration Date: 12/20/2019
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436557873
- Enrollment ID: I20211014002883
Medical Identifiers
Medical identifiers for Miss Kelli Lynn Hanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962041996 | NPI | - | NPPES |
| 2185019 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | AP61161837 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lewis County Community Health Services | 6002803749 | 41 |
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. Miss Kelli Lynn Hanks allows following entities to bill medicare on her behalf.
| Entity Name | Lewis County Community Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134164692
PECOS PAC ID: 6002803749
Enrollment ID: O20040426001899 |
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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. Miss Kelli Lynn Hanks 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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Miss Kelli Lynn Hanks, ARNP
2690 Ne Kresky Ave,
Chehalis, WA 98532-2412
Ph: (360) 330-9595 | Miss Kelli Lynn Hanks, ARNP
100 Cedar Crest Dr,
Winlock, WA 98596-9791
Ph: (360) 785-9400 |
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