Mrs Melissa D Kelly, CPNP in Greensboro, NC - Medicare Nurse Practitioner

Mrs Melissa D Kelly, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Greensboro, North Carolina. Her current practice location is 802 Green Valley Rd, Ste. 210, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 510-5510.

Mrs Melissa D Kelly is licensed to practice in North Carolina (license number 5008997) 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 1629180849.

Contact Information

	Mrs Melissa D Kelly, CPNP
	802 Green Valley Rd, Ste. 210, Greensboro, NC 27408-7041
	(336) 510-5510
	(336) 810-5515

Map and Direction

Provider's Profile

Full Name	Mrs Melissa D Kelly
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	802 Green Valley Rd, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629180849
Provider Enumeration Date: 09/01/2006
Last Update Date: 10/17/2016

Medicare PECOS Information:

PECOS PAC ID: 2466867049
Enrollment ID: I20210211002333

Medical Identifiers

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

Identifier	Type	State	Issuer
1629180849	NPI	-	NPPES
307942200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	ARNP9169528 (Florida)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	5008997 (North Carolina)	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 Melissa D Kelly allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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 Melissa D 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 Melissa D Kelly, CPNP 1701 Westchester Dr, Ste. 850, High Point, NC 27262-7008 Ph: (336) 802-2400	Mrs Melissa D Kelly, CPNP 802 Green Valley Rd, Ste. 210, Greensboro, NC 27408-7041 Ph: (336) 510-5510

Reviews and Comments

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Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400

Mrs Melissa D Kelly, CPNP - Medicare Nurse Practitioner in Greensboro, NC