Rebecca Jane Kelley, DNP, CRNP, A-GNP-C in Baltimore, MD

Rebecca Jane Kelley, DNP, CRNP, A-GNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Baltimore, Maryland. Her current practice location is 345 Saint Paul St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (765) 914-6821.

Rebecca Jane Kelley is licensed to practice in Maryland (license number R177796) 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 1679292007.

Contact Information

	Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
	345 Saint Paul St, Baltimore, MD 21202-2123
	(765) 914-6821
	Not Available

Map and Direction

Provider's Profile

Full Name	Rebecca Jane Kelley
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	345 Saint Paul St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679292007
Provider Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5294103420
Enrollment ID: I20221121000008

Medical Identifiers

Medical identifiers for Rebecca Jane Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679292007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R177796 (Maryland)	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. Rebecca Jane Kelley allows following entities to bill medicare on her behalf.

Entity Name	Maryland Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273

Entity Name	St Paul Place Specialists, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084

Entity Name	Personal Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326274853 PECOS PAC ID: 3274683289 Enrollment ID: O20090615000031

Entity Name	Emergency Physicians Spps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760885958 PECOS PAC ID: 0648594036 Enrollment ID: O20150113000263

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. Rebecca Jane Kelley 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
Rebecca Jane Kelley, DNP, CRNP, A-GNP-C 7401 Campbell Dr, Severn, MD 21144-2774 Ph: (765) 914-6821	Rebecca Jane Kelley, DNP, CRNP, A-GNP-C 345 Saint Paul St, Baltimore, MD 21202-2123 Ph: (765) 914-6821

Reviews and Comments

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Rebecca Jane Kelley, DNP, CRNP, A-GNP-C - Medicare Nurse Practitioner in Baltimore, MD