Mrs Kelly M Doub, NNP-BC in Columbus, GA - Medicare Nurse Practitioner

Mrs Kelly M Doub, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Columbus, Georgia. Her current practice location is 2122 Manchester Expressway, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 320-2773.

Mrs Kelly M Doub is licensed to practice in Georgia (license number RN226465) 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 1700179900.

Contact Information

	Mrs Kelly M Doub, NNP-BC
	2122 Manchester Expressway, Columbus, GA 31904
	(706) 320-2773
	(706) 596-4226

Map and Direction

Provider's Profile

Full Name	Mrs Kelly M Doub
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	2122 Manchester Expressway, Columbus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700179900
Provider Enumeration Date: 05/20/2011
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7012161789
Enrollment ID: I20130205000107

Medical Identifiers

Medical identifiers for Mrs Kelly M Doub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700179900	NPI	-	NPPES
167215	Medicaid	AL
003129046E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	RN226465 (Georgia)	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 M Doub allows following entities to bill medicare on her behalf.

Entity Name	St Francis Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073

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 M Doub 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 M Doub, NNP-BC 2300 Manchester Expy Ste 2001a, Columbus, GA 31904-6802 Ph: (706) 320-3126	Mrs Kelly M Doub, NNP-BC 2122 Manchester Expressway, Columbus, GA 31904 Ph: (706) 320-2773

Reviews and Comments

Nurse Practitioner Nurses in Columbus, GA

Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973

Mrs Kelly M Doub, NNP-BC - Medicare Nurse Practitioner in Columbus, GA