Rhonda S Kelly, CRNA in Tupelo, MS - Medicare Nurse Anesthetist, Certified Registered

Rhonda S Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tupelo, Mississippi. Her current practice location is 830 South Gloster, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-4394.

Rhonda S Kelly is licensed to practice in Mississippi (license number R738244) 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 1124045604.

Contact Information

	Rhonda S Kelly, CRNA
	830 South Gloster, Tupelo, MS 38801
	(662) 377-4394
	(662) 377-7045

Map and Direction

Provider's Profile

Full Name	Rhonda S Kelly
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	830 South Gloster, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124045604
Provider Enumeration Date: 07/17/2006
Last Update Date: 08/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8123018744
Enrollment ID: I20180125001094

Medical Identifiers

Medical identifiers for Rhonda S Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124045604	NPI	-	NPPES
01007591	Medicaid	MS
009936762	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704219321 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R738244 (Mississippi)	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. Rhonda S Kelly allows following entities to bill medicare on her behalf.

Entity Name	Bridgton Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

Entity Name	Rumford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890

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. Rhonda S 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
Rhonda S Kelly, CRNA Po Box 3294, Tupelo, MS 38803-3294 Ph: (662) 377-4394	Rhonda S Kelly, CRNA 830 South Gloster, Tupelo, MS 38801 Ph: (662) 377-4394

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tupelo, MS

Lauren Elizabeth Abel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Sarah Cotton Ashmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Mr. Bradley W Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Lauren H. Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Shannon D Barber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Jennifer M Little, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Donald R Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045

Rhonda S Kelly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tupelo, MS