Mrs Kelly Lillis Vazquez, APRN FNP-C in Homestead, FL

Mrs Kelly Lillis Vazquez, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Homestead, Florida. Her current practice location is 975 Baptist Way, Homestead, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 573-6863.

Mrs Kelly Lillis Vazquez is licensed to practice in Florida (license number APRN11000023) 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 1952877706.

Contact Information

	Mrs Kelly Lillis Vazquez, APRN FNP-C
	975 Baptist Way, Homestead, FL 33033-7600
	(786) 573-6863
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Lillis Vazquez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	975 Baptist Way, Homestead, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952877706
Provider Enumeration Date: 10/19/2018
Last Update Date: 11/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5092051888
Enrollment ID: I20190116000656

Medical Identifiers

Medical identifiers for Mrs Kelly Lillis Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952877706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11000023 (Florida)	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 Lillis Vazquez allows following entities to bill medicare on her behalf.

Entity Name	South Dade Medical Group Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770569956 PECOS PAC ID: 9335126796 Enrollment ID: O20040702000536

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 Lillis Vazquez 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 Lillis Vazquez, APRN FNP-C 1460 Se 22nd Ln, Homestead, FL 33035-2221 Ph: (786) 255-0020	Mrs Kelly Lillis Vazquez, APRN FNP-C 975 Baptist Way, Homestead, FL 33033-7600 Ph: (786) 573-6863

Reviews and Comments

Nurse Practitioner Nurses in Homestead, FL

Armando Diaz, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 25205 Sw 133rd Ave, Homestead, FL 33032 Phone: 786-458-4961 Fax: 786-741-7413
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Mrs. Mary Ann Garcia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 Nw 17th St, Homestead, FL 33030 Phone: 305-824-8802 Fax: 305-824-8803
Wendys Labrada, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13478 Sw 277th St, Homestead, FL 33032 Phone: 305-772-6982
Ms. Teresa Vazquez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38 Nw 8th St, Homestead, FL 33030 Phone: 305-246-0460

Mrs Kelly Lillis Vazquez, APRN FNP-C - Medicare Nurse Practitioner in Homestead, FL