Ms Kelley Lynn Doss, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Providence, North Carolina. Her current practice location is
131 Dor Rie Ln, Providence, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(434) 203-0255.
Ms Kelley Lynn Doss is licensed to practice in Virginia (license number 0024189328) 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 1336902113.
Provider's Profile
Full Name | Ms Kelley Lynn Doss |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 131 Dor Rie Ln, Providence, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336902113
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981042843
- Enrollment ID: I20240411000124
Medical Identifiers
Medical identifiers for Ms Kelley Lynn Doss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336902113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0024189328 (Virginia) | 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. Ms Kelley Lynn Doss allows following entities to bill medicare on her behalf.
Entity Name | Lewis Gale Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
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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. Ms Kelley Lynn Doss 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 |
Ms Kelley Lynn Doss, FNP-C 131 Dor Rie Ln, Providence, NC 27315-9613 Ph: (434) 203-0255 | Ms Kelley Lynn Doss, FNP-C 131 Dor Rie Ln, Providence, NC 27315-9613 Ph: (434) 203-0255 |
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