Mrs Kelly Calleros, CNM is a medicare enrolled "Advanced Practice Midwife" in Livingston, New Jersey. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Regional Womens Health Group Llc and her current practice location is
316 Eisenhower Pkwy, Suite 202, Livingston, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 716-9600.
Mrs Kelly Calleros is licensed to practice in New Jersey (license number 25ME00056201) 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 1750790218.
Provider's Profile
| Full Name | Mrs Kelly Calleros |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 10 Years |
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| Location | 316 Eisenhower Pkwy, Livingston, New Jersey |
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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:
- Mrs Kelly Calleros graduated from nursing school in 2014
NPI Data:
- NPI Number: 1750790218
- Provider Enumeration Date: 08/10/2014
- Last Update Date: 09/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951520931
- Enrollment ID: I20140924001793
Medical Identifiers
Medical identifiers for Mrs Kelly Calleros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750790218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 25ME00056201 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Regional Womens Health Group Llc | 2961316328 | 323 |
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 Calleros allows following entities to bill medicare on her behalf.
| Entity Name | Regional Womens Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548215536
PECOS PAC ID: 2961316328
Enrollment ID: O20040420000034 |
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| Entity Name | Saint Barnabas Multi Specialty |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780632992
PECOS PAC ID: 3072500727
Enrollment ID: O20040427000024 |
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| Entity Name | Lifeline Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821041617
PECOS PAC ID: 1456332170
Enrollment ID: O20040528000067 |
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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. Mrs Kelly Calleros 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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Mrs Kelly Calleros, CNM
Po Box 22581,
New York, NY 10087-2581
Ph: (610) 482-4795 | Mrs Kelly Calleros, CNM
316 Eisenhower Pkwy, Suite 202,
Livingston, NJ 07039-1718
Ph: (973) 716-9600 |
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