Mrs Lisa M Kelly, CRNP in Newark, DE - Medicare Nurse Practitioner

Mrs Lisa M Kelly, CRNP is a medicare enrolled "Nurse Practitioner" in Newark, Delaware. Her current practice location is 200 Biddle Ave Ste 100, Newark, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 836-7820.

Mrs Lisa M Kelly is licensed to practice in Delaware (license number L10039633) 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 1316380462.

Contact Information

	Mrs Lisa M Kelly, CRNP
	200 Biddle Ave Ste 100, Newark, DE 19702-3967
	(302) 836-7820
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa M Kelly
Gender	Female
Speciality	Nurse Practitioner
Location	200 Biddle Ave Ste 100, Newark, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316380462
Provider Enumeration Date: 04/08/2013
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9830330513
Enrollment ID: I20170615001518

Medical Identifiers

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

Identifier	Type	State	Issuer
1316380462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP012767 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	L10039633 (Delaware)	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 Lisa M Kelly allows following entities to bill medicare on her behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840

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 Lisa M Kelly 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 Lisa M Kelly, CRNP Po Box 191, Provider Enrollment, Rockland, DE 19732-0191 Ph: (302) 651-4200	Mrs Lisa M Kelly, CRNP 200 Biddle Ave Ste 100, Newark, DE 19702-3967 Ph: (302) 836-7820

Reviews and Comments

Nurse Practitioner Nurses in Newark, DE

Amy Wallig Parosky, MSN, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4755 Ogletown-stanton Rd, Room 2410, Newark, DE 19718 Phone: 302-733-2359 Fax: 302-733-5168
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Susan Eileen Petrillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, 3d38, Newark, DE 19718 Phone: 302-733-5628 Fax: 302-733-3887

Mrs Lisa M Kelly, CRNP - Medicare Nurse Practitioner in Newark, DE