Mrs Kelly Reid-waldock, NP in Rochester, NY - Medicare Nurse Practitioner

Mrs Kelly Reid-waldock, NP is a medicare enrolled "Nurse Practitioner - Family" in Rochester, New York. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Western New York Medical Practice Pc and her current practice location is 1295 Portland Avenue, Suite 7, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 266-7560.

Mrs Kelly Reid-waldock is licensed to practice in New York (license number F3324631) 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 1174574099.

Contact Information

	Mrs Kelly Reid-waldock, NP
	1295 Portland Avenue, Suite 7, Rochester, NY 14621
	(585) 266-7560
	(585) 266-7916

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Reid-waldock
Gender	Female
Speciality	Nurse Practitioner
Experience	32 Years
Location	1295 Portland Avenue, Rochester, New York
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 Reid-waldock graduated from nursing school in 1992

NPI Data:

NPI Number: 1174574099
Provider Enumeration Date: 05/15/2006
Last Update Date: 01/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1951593532
Enrollment ID: I20101014000780

Medical Identifiers

Medical identifiers for Mrs Kelly Reid-waldock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174574099	NPI	-	NPPES
02122425	Medicaid	NY
NP0242	Other		PREFERRED CARE
0181925590	Other		BLUE CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F3324631 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western New York Medical Practice Pc	3870767791	409

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 Reid-waldock allows following entities to bill medicare on her behalf.

Entity Name	Western New York Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

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 Reid-waldock 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 Reid-waldock, NP 1295 Portland Avenue, Suite 7, Rochester, NY 14621 Ph: (585) 266-7560	Mrs Kelly Reid-waldock, NP 1295 Portland Avenue, Suite 7, Rochester, NY 14621 Ph: (585) 266-7560

Reviews and Comments

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Mrs Kelly Reid-waldock, NP - Medicare Nurse Practitioner in Rochester, NY