Ms Kelly D Counts, ACNP in Saint Louis, MO - Medicare Nurse Practitioner

Ms Kelly D Counts, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Louis, Missouri. Her current practice location is 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-9123.

Ms Kelly D Counts is licensed to practice in Missouri (license number 130821) 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 1750340279.

Contact Information

	Ms Kelly D Counts, ACNP
	400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, MO 63110-1014
	(314) 362-9123
	(314) 747-3338

Map and Direction

Provider's Profile

Full Name	Ms Kelly D Counts
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	400 S Kingshighway Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750340279
Provider Enumeration Date: 03/22/2006
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0749201358
Enrollment ID: I20051212000163

Medical Identifiers

Medical identifiers for Ms Kelly D Counts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750340279	NPI	-	NPPES
427287701	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	130821 (Missouri)	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 D Counts allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104866656 PECOS PAC ID: 9830008770 Enrollment ID: O20040205000494

Entity Name	Southeastern Emergency Services Of Memphis Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151

Entity Name	Lake Forest Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023261716 PECOS PAC ID: 1759441884 Enrollment ID: O20081119000794

Entity Name	Mercy East Ambulatory Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054

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 D Counts 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 D Counts, ACNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-9123	Ms Kelly D Counts, ACNP 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, MO 63110-1014 Ph: (314) 362-9123

Reviews and Comments

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Ms Kelly D Counts, ACNP - Medicare Nurse Practitioner in Saint Louis, MO