Ms Patricia A Kelly, NMD, FNP-BC, GNPC-BC in Long Beach, CA

Ms Patricia A Kelly, NMD, FNP-BC, GNPC-BC is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. Her current practice location is 200 Oceangate Ste 100, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (888) 562-5442.

Ms Patricia A Kelly is licensed to practice in Ohio (license number APRN.CNP.04543) 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 1164435582.

Contact Information

	Ms Patricia A Kelly, NMD, FNP-BC, GNPC-BC
	200 Oceangate Ste 100, Long Beach, CA 90802-4317
	(888) 562-5442
	(562) 528-5595

Map and Direction

Provider's Profile

Full Name	Ms Patricia A Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 Oceangate Ste 100, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164435582
Provider Enumeration Date: 08/15/2006
Last Update Date: 01/10/2018

Medicare PECOS Information:

PECOS PAC ID: 2567548555
Enrollment ID: I20080401000381

Medical Identifiers

Medical identifiers for Ms Patricia A Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164435582	NPI	-	NPPES
000000577056	Other	OH	ANTHEM
421534506126	Other	OH	CARESOURCE
2271741	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP04543 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	71000324A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.04543 (Ohio)	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 Patricia A Kelly allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180220001792

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 Patricia A Kelly 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 Patricia A Kelly, NMD, FNP-BC, GNPC-BC 3000 Corporate Exchange Dr, Columbus, OH 43231-7689 Ph: (888) 528-5595	Ms Patricia A Kelly, NMD, FNP-BC, GNPC-BC 200 Oceangate Ste 100, Long Beach, CA 90802-4317 Ph: (888) 562-5442

Reviews and Comments

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Ms Patricia A Kelly, NMD, FNP-BC, GNPC-BC - Medicare Nurse Practitioner in Long Beach, CA