Mrs Kelli Rose Roe, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Mrs Kelli Rose Roe, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. Her current practice location is 4813 New Haven Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 449-7504.

Mrs Kelli Rose Roe is licensed to practice in Indiana (license number 28181384A) 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 1831600311.

Contact Information

	Mrs Kelli Rose Roe, NP
	4813 New Haven Ave, Fort Wayne, IN 46803-3018
	(260) 449-7504
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelli Rose Roe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4813 New Haven Ave, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831600311
Provider Enumeration Date: 10/24/2017
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2163768953
Enrollment ID: I20190116000738

Medical Identifiers

Medical identifiers for Mrs Kelli Rose Roe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831600311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28181384A (Indiana)	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 Kelli Rose Roe allows following entities to bill medicare on her behalf.

Entity Name	Ft. Wayne-allen County Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649422668 PECOS PAC ID: 8729257571 Enrollment ID: O20120109000280

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 Kelli Rose Roe 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 Kelli Rose Roe, NP 4813 New Haven Ave, Fort Wayne, IN 46803-3018 Ph: (260) 449-7504	Mrs Kelli Rose Roe, NP 4813 New Haven Ave, Fort Wayne, IN 46803-3018 Ph: (260) 449-7504

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
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Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Mrs Kelli Rose Roe, NP - Medicare Nurse Practitioner in Fort Wayne, IN