Mrs Kelly Coleman Statham, AGPCNP-BC in Birmingham, AL

Mrs Kelly Coleman Statham, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Birmingham, Alabama. Her current practice location is 3980 Colonnade Pkwy, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 599-3525.

Mrs Kelly Coleman Statham is licensed to practice in Alabama (license number 1-126752) 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 1659741429.

Contact Information

	Mrs Kelly Coleman Statham, AGPCNP-BC
	3980 Colonnade Pkwy, Birmingham, AL 35243-2382
	(205) 599-3525
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Coleman Statham
Gender	Female
Speciality	Nurse Practitioner
Location	3980 Colonnade Pkwy, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659741429
Provider Enumeration Date: 10/05/2015
Last Update Date: 10/05/2015

Medicare PECOS Information:

PECOS PAC ID: 2466741764
Enrollment ID: I20160510000402

Medical Identifiers

Medical identifiers for Mrs Kelly Coleman Statham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659741429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-126752 (Alabama)	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 Coleman Statham allows following entities to bill medicare on her behalf.

Entity Name	Bw Cardiology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366816068 PECOS PAC ID: 6608185749 Enrollment ID: O20151012002260

Entity Name	Baptist Health Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442

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 Coleman Statham 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 Coleman Statham, AGPCNP-BC 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 Ph: (205) 599-3525	Mrs Kelly Coleman Statham, AGPCNP-BC 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 Ph: (205) 599-3525

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
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Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Mrs Kelly Coleman Statham, AGPCNP-BC - Medicare Nurse Practitioner in Birmingham, AL