Ms Kelly Denise Griffin, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Juneu, Alaska. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Urgent Care Incorporated and her current practice location is
8505 Old Diary Rd, Juneu, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 790-4111.
Ms Kelly Denise Griffin is licensed to practice in Alaska (license number 202259) 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 1437541091.
Provider's Profile
| Full Name | Ms Kelly Denise Griffin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 8505 Old Diary Rd, Juneu, Alaska |
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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:
- Ms Kelly Denise Griffin graduated from nursing school in 2015
NPI Data:
- NPI Number: 1437541091
- Provider Enumeration Date: 02/19/2015
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345551016
- Enrollment ID: I20230505002408
Medical Identifiers
Medical identifiers for Ms Kelly Denise Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437541091 | NPI | - | NPPES |
| 016759 | Medicaid | AZ | |
| 03-1815 | Other | | MEDICARE |
| ZFQ31815 | Other | | MEDICARE |
| 912044 | Medicaid | AZ | |
| 1737735 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN104391 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP7749 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202259 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Urgent Care Incorporated | 7012913155 | 2 |
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. Ms Kelly Denise Griffin allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Urgent Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841386117
PECOS PAC ID: 7012913155
Enrollment ID: O20151204001882 |
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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. Ms Kelly Denise Griffin 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 |
|---|
Ms Kelly Denise Griffin, APRN FNP-C
8505 Old Diary Rd,
Juneu, AK 99801
Ph: (907) 790-4111 | Ms Kelly Denise Griffin, APRN FNP-C
8505 Old Diary Rd,
Juneu, AK 99801
Ph: (907) 790-4111 |
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