Ms Kelly Otisha Bush, NP - Medicare Nurse Practitioner in Smyrna, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Smyrna
Ms Kelly Otisha Bush, NP is a medicare enrolled "Nurse Practitioner - Family" in Smyrna, Georgia. Her current practice location is 3240 S Cobb Dr Se, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 433-3477.

Ms Kelly Otisha Bush is licensed to practice in Georgia (license number RN148840) 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 1619380250.

Contact Information

Ms Kelly Otisha Bush, NP
3240 S Cobb Dr Se,
Smyrna, GA 30080-4194
(770) 433-3477
Not Available

Map and Direction




Provider's Profile

Full NameMs Kelly Otisha Bush
GenderFemale
SpecialityNurse Practitioner - Family
Location3240 S Cobb Dr Se, Smyrna, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619380250
  • Provider Enumeration Date: 06/10/2014
  • Last Update Date: 06/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8022236884
  • Enrollment ID: I20140820001990

Medical Identifiers

Medical identifiers for Ms Kelly Otisha Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619380250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN148840 (Georgia)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 Otisha Bush allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NameTlc Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750677241
PECOS PAC ID: 5496924490
Enrollment ID: O20110809000175

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 Otisha Bush 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 AddressPractice Location Address
Ms Kelly Otisha Bush, NP
2620 Elm Hill Pike,
Nashville, TN 37214-3108

Ph: (615) 425-4200		Ms Kelly Otisha Bush, NP
3240 S Cobb Dr Se,
Smyrna, GA 30080-4194

Ph: (770) 433-3477

Reviews and Comments


Nurse Practitioner Nurses in Smyrna, GA

Brooke L Kahler, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3948 Central Garden Ct Se, Smyrna, GA 30080
Phone: 785-806-8612    
Kelly Ann Borders, APRN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4441 Atlanta Rd Se Ste 319, Smyrna, GA 30080
Phone: 770-792-6262    
Erin Ferguson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080
Phone: 770-801-5000    
Mrs. Yuri Ayana Taylor, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080
Phone: 770-435-2178    
Priscilla Elyse Colpo, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082
Phone: 770-970-0858    
Dr. Angelyn Levell-smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080
Phone: 770-435-2178    
Mrs. Ashley Howard Montcalm, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4441 Atlanta Rd Se Ste 206, Smyrna, GA 30080
Phone: 770-333-2020    Fax: 770-333-2023

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.