Mrs Kelly Maxwell, CNP in Sioux Falls, SD - Medicare Nurse Practitioner

Mrs Kelly Maxwell, CNP is a medicare enrolled "Nurse Practitioner - Family" in Sioux Falls, South Dakota. Her current practice location is 4400 W 69th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-4065.

Mrs Kelly Maxwell is licensed to practice in South Dakota (license number CP002475) 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 1851029920.

Contact Information

	Mrs Kelly Maxwell, CNP
	4400 W 69th St, Sioux Falls, SD 57108-8170
	(605) 322-4065
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Maxwell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4400 W 69th St, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851029920
Provider Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 9234515024
Enrollment ID: I20221002000029

Medical Identifiers

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

Identifier	Type	State	Issuer
1851029920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CP002475 (South Dakota)	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 Maxwell allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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 Maxwell 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 Maxwell, CNP 2216 S Grinnell Ave, Sioux Falls, SD 57106-5106 Ph: () -	Mrs Kelly Maxwell, CNP 4400 W 69th St, Sioux Falls, SD 57108-8170 Ph: (605) 322-4065

Reviews and Comments

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Mrs Kelly Maxwell, CNP - Medicare Nurse Practitioner in Sioux Falls, SD