Ms Kelly Brooke Welch, CRNA in Walnut Creek, CA - Medicare Nurse Anesthetist, Certified Registered

Ms Kelly Brooke Welch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Walnut Creek, California. Her current practice location is 1425 S Main St, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (919) 971-5568.

Ms Kelly Brooke Welch is licensed to practice in California (license number 4023) 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 1851688790.

Contact Information

	Ms Kelly Brooke Welch, CRNA
	1425 S Main St, Walnut Creek, CA 94596-5318
	(919) 971-5568
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kelly Brooke Welch
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1425 S Main St, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851688790
Provider Enumeration Date: 06/29/2011
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4789855495
Enrollment ID: I20110928000629

Medical Identifiers

Medical identifiers for Ms Kelly Brooke Welch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851688790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	784814 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4023 (California)	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 Kelly Brooke Welch allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Kelly Brooke Welch 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 Kelly Brooke Welch, CRNA 543 Pimlico Ct, Walnut Creek, CA 94597-3677 Ph: (919) 971-5568	Ms Kelly Brooke Welch, CRNA 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (919) 971-5568

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Walnut Creek, CA

Michelle Cable Vu, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000
Mr. Brett James Coleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 510-295-4000
Mrs. Connie M Tracy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665
Anthony Trejo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000
Rosemary W Kanake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596 Phone: 314-461-1058
Amy Elizabeth Bode, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4739
Isabelita Gecale Puruganan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 Fax: 925-295-6116

Ms Kelly Brooke Welch, CRNA - Medicare Nurse Anesthetist, Certified Registered in Walnut Creek, CA