Mrs Kelly Cross Imlay, APRN in Clinton, UT - Medicare Nurse Practitioner

Mrs Kelly Cross Imlay, APRN is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Utah. Her current practice location is 1857 N 1000 W, Clinton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 745-5794.

Mrs Kelly Cross Imlay is licensed to practice in Utah (license number 196456-4405) 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 1548043029.

Contact Information

	Mrs Kelly Cross Imlay, APRN
	1857 N 1000 W, Clinton, UT 84015-8969
	(801) 745-5794
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Cross Imlay
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1857 N 1000 W, Clinton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548043029
Provider Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2961576756
Enrollment ID: I20231212002424

Medical Identifiers

Medical identifiers for Mrs Kelly Cross Imlay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548043029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	196456-4405 (Utah)	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 Cross Imlay allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062

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 Cross Imlay 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 Cross Imlay, APRN 1148 S 2450 W, Syracuse, UT 84075-7051 Ph: (801) 745-5794	Mrs Kelly Cross Imlay, APRN 1857 N 1000 W, Clinton, UT 84015-8969 Ph: (801) 745-5794

Reviews and Comments

Nurse Practitioner Nurses in Clinton, UT

Mrs. Collette Campbell Renstrom, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-774-8888
Mrs. Hailey Russell, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-773-4840
Samantha Orr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1703 W 1950 N, Clinton, UT 84015 Phone: 801-726-9273
Brandy M Tafoya, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1448 N 2000 W Ste 3, Clinton, UT 84015 Phone: 801-940-5542
Mathew Christopher Pedersen, DNP FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1748 W 1800 N, Clinton, UT 84015 Phone: 180-177-3164
Dr. Ann Maruri, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Suite C, Clinton, UT 84015 Phone: 801-774-8888 Fax: 801-825-8519

Mrs Kelly Cross Imlay, APRN - Medicare Nurse Practitioner in Clinton, UT