Mrs Kelly Ann Shank, NP in Maumee, OH - Medicare Nurse Practitioner

Mrs Kelly Ann Shank, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Maumee, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Careline Poh100 Llc and her current practice location is 3350 Briarfield Blvd Ste 300, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 452-2140.

Mrs Kelly Ann Shank is licensed to practice in Ohio (license number RN261639) 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 1922084425.

Contact Information

	Mrs Kelly Ann Shank, NP
	3350 Briarfield Blvd Ste 300, Maumee, OH 43537-9502
	(419) 452-2140
	(419) 873-6327

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Ann Shank
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	3350 Briarfield Blvd Ste 300, Maumee, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Ann Shank attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1997

NPI Data:

NPI Number: 1922084425
Provider Enumeration Date: 12/16/2005
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3476591355
Enrollment ID: I20050421000254

Medical Identifiers

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

Identifier	Type	State	Issuer
1922084425	NPI	-	NPPES
2207347	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN261639 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frmc Home Health Services	Sandusky, OH	Home health agency
Hospice Of Northwest Ohio	Perrysburg, OH	Hospice
University Of Toledo Medical Center	Toledo, OH	Hospital
Mercy St Vincent Medical Center	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Careline Poh100 Llc	7012395965	6

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 Shank allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912208729 PECOS PAC ID: 3577749993 Enrollment ID: O20110519000839

Entity Name	Careconnectmd Ohio, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255971537 PECOS PAC ID: 2567885577 Enrollment ID: O20200709002068

Entity Name	Careline Poh100 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306414826 PECOS PAC ID: 7012395965 Enrollment ID: O20220604000359

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 Shank 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 Shank, NP 801 Rosehill Rd, Jackson, MI 49202-1762 Ph: (517) 212-2008	Mrs Kelly Ann Shank, NP 3350 Briarfield Blvd Ste 300, Maumee, OH 43537-9502 Ph: (419) 452-2140

Reviews and Comments

Nurse Practitioner Nurses in Maumee, OH

Mrs. Rachel Lee Pfaff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1661 Holland Rd Ste 100, Maumee, OH 43537 Phone: 419-794-1105
Megan Palmer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 10, Maumee, OH 43537 Phone: 419-887-0803
Timothy W Haupricht, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 266&265, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622
Tracey Begley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Monclova Rd Ste 320, Maumee, OH 43537 Phone: 419-893-7134 Fax: 419-893-6942
Cassandra June Kaiser-barrow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Wheatstone Ct, Maumee, OH 43537 Phone: 419-866-6200
Heather Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 513-834-7063 Fax: 513-873-1567
Kevin Creedon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd Ste 201, Maumee, OH 43537 Phone: 419-794-7700 Fax: 419-794-7715

Mrs Kelly Ann Shank, NP - Medicare Nurse Practitioner in Maumee, OH