Mrs Kelly Ann Callis, ARNP FNP-C in Minnetonka, MN

Mrs Kelly Ann Callis, ARNP FNP-C is a medicare enrolled "Nurse Practitioner" in Minnetonka, Minnesota. Her current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (941) 725-2171.

Mrs Kelly Ann Callis is licensed to practice in Florida (license number ARNP9311654) 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 1033610100.

Contact Information

	Mrs Kelly Ann Callis, ARNP FNP-C
	9900 Bren Rd E, Minnetonka, MN 55343-9664
	(941) 725-2171
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Ann Callis
Gender	Female
Speciality	Nurse Practitioner
Location	9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033610100
Provider Enumeration Date: 02/23/2018
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 1456615137
Enrollment ID: I20180504000204

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Callis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033610100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9311654 (Florida)	Secondary
363L00000X	Nurse Practitioner	ARNP9311654 (Florida)	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 Kelly Ann Callis allows following entities to bill medicare on her behalf.

Entity Name	H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575

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 Kelly Ann Callis 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 Kelly Ann Callis, ARNP FNP-C 812 60th St Nw, Bradenton, FL 34209-1407 Ph: (941) 725-2171	Mrs Kelly Ann Callis, ARNP FNP-C 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (941) 725-2171

Reviews and Comments

Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249

Mrs Kelly Ann Callis, ARNP FNP-C - Medicare Nurse Practitioner in Minnetonka, MN