Mrs Stacy Lynne Kelly, NP in Pittsburgh, PA - Medicare Nurse Practitioner

Mrs Stacy Lynne Kelly, NP is a medicare enrolled "Nurse Practitioner - Family" in Pittsburgh, Pennsylvania. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Clair Medical Services Inc, Preferred Primary Care Physicians, Inc. and her current practice location is 1145 Bower Hill Rd Ste 105, Pittsburgh, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 572-6194.

Mrs Stacy Lynne Kelly is licensed to practice in Pennsylvania (license number SP020956) 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 1619514742.

Contact Information

	Mrs Stacy Lynne Kelly, NP
	1145 Bower Hill Rd Ste 105, Pittsburgh, PA 15243-1346
	(412) 572-6194
	(412) 572-6195

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Lynne Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1145 Bower Hill Rd Ste 105, Pittsburgh, Pennsylvania
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 Stacy Lynne Kelly graduated from nursing school in 2019

NPI Data:

NPI Number: 1619514742
Provider Enumeration Date: 12/09/2019
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3072949411
Enrollment ID: I20200204001245

Medical Identifiers

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

Identifier	Type	State	Issuer
1619514742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP020956 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Clair Medical Services Inc	4183511553	160
Preferred Primary Care Physicians, Inc.	8527967256	96

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 Stacy Lynne Kelly allows following entities to bill medicare on her behalf.

Entity Name	Preferred Primary Care Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407826019 PECOS PAC ID: 8527967256 Enrollment ID: O20040102000049

Entity Name	St Clair Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467485565 PECOS PAC ID: 4183511553 Enrollment ID: O20040301000889

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 Stacy Lynne 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 Stacy Lynne Kelly, NP 1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - Pamalyn, Pittsburgh, PA 15243-1873 Ph: (412) 924-2548	Mrs Stacy Lynne Kelly, NP 1145 Bower Hill Rd Ste 105, Pittsburgh, PA 15243-1346 Ph: (412) 572-6194

Reviews and Comments

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Mrs Stacy Lynne Kelly, NP - Medicare Nurse Practitioner in Pittsburgh, PA