Mrs Kelly Lynn Heffron, PMHNP in Phoenix, AZ - Medicare Nurse Practitioner

Mrs Kelly Lynn Heffron, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Denova Collaborative Health, Llc, Mind 247 Practice Llc and her current practice location is 3330 N 2nd St Ste 601, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Mrs Kelly Lynn Heffron is licensed to practice in Arizona (license number 255426) 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 1043895030.

Contact Information

	Mrs Kelly Lynn Heffron, PMHNP
	3330 N 2nd St Ste 601, Phoenix, AZ 85012-2395
	(602) 230-7373
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Lynn Heffron
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3330 N 2nd St Ste 601, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Lynn Heffron graduated from nursing school in 2020

NPI Data:

NPI Number: 1043895030
Provider Enumeration Date: 03/11/2021
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7416365077
Enrollment ID: I20210420001124

Medical Identifiers

Medical identifiers for Mrs Kelly Lynn Heffron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043895030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	255426 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denova Collaborative Health, Llc	2466437736	84
Mind 247 Practice Llc	6406253541	32

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 Lynn Heffron allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

Entity Name	Mind 247 Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566

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 Lynn Heffron 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 Lynn Heffron, PMHNP 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Mrs Kelly Lynn Heffron, PMHNP 3330 N 2nd St Ste 601, Phoenix, AZ 85012-2395 Ph: (602) 230-7373

Reviews and Comments

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Mrs Kelly Lynn Heffron, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ