Ms Kelly Eilis Lavin, FNP in Saint Louis, MO - Medicare Nurse Practitioner

Ms Kelly Eilis Lavin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. Her current practice location is 620 S Taylor Ave, Div Im Infectious Disease, Ste 100, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 747-1206.

Ms Kelly Eilis Lavin is licensed to practice in Missouri (license number 2022045232) 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 1174204044.

Contact Information

	Ms Kelly Eilis Lavin, FNP
	620 S Taylor Ave, Div Im Infectious Disease, Ste 100, Saint Louis, MO 63110-1035
	(314) 747-1206
	(314) 222-6252

Map and Direction

Provider's Profile

Full Name	Ms Kelly Eilis Lavin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	620 S Taylor Ave, 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: 1174204044
Provider Enumeration Date: 07/25/2023
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8325402985
Enrollment ID: I20230914002964

Medical Identifiers

Medical identifiers for Ms Kelly Eilis Lavin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174204044	NPI	-	NPPES
420129228	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022045232 (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 Eilis Lavin 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: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372

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 Eilis Lavin 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 Eilis Lavin, FNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 747-1206	Ms Kelly Eilis Lavin, FNP 620 S Taylor Ave, Div Im Infectious Disease, Ste 100, Saint Louis, MO 63110-1035 Ph: (314) 747-1206

Reviews and Comments

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Ms Kelly Eilis Lavin, FNP - Medicare Nurse Practitioner in Saint Louis, MO