Shelby Kelley, in Columbia, TN - Medicare Nurse Practitioner

Shelby Kelley, is a medicare enrolled "Nurse Practitioner" in Columbia, Tennessee. Her current practice location is 230 E James Campbell Blvd, 101, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 410-4990.

Shelby Kelley is licensed to practice in Tennessee (license number 30951) 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 1912668336.

Contact Information

	Shelby Kelley,
	230 E James Campbell Blvd, 101, Columbia, TN 38401
	(615) 410-4990
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Kelley
Gender	Female
Speciality	Nurse Practitioner
Location	230 E James Campbell Blvd, Columbia, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912668336
Provider Enumeration Date: 01/07/2022
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3870962178
Enrollment ID: I20221222001446

Medical Identifiers

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

Identifier	Type	State	Issuer
1912668336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	30951 (Tennessee)	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. Shelby Kelley allows following entities to bill medicare on her behalf.

Entity Name	Mid-south Home Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770085573 PECOS PAC ID: 4385961093 Enrollment ID: O20180724001238

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. Shelby 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
Shelby Kelley, 230 E James Campbell Blvd, 101, Columbia, TN 38401 Ph: () -	Shelby Kelley, 230 E James Campbell Blvd, 101, Columbia, TN 38401 Ph: (615) 410-4990

Reviews and Comments

Nurse Practitioner Nurses in Columbia, TN

Ms. Terri Christine Lacher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535
Jennifer Ficke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1040 N James M Campbell Blvd Ste 101, Columbia, TN 38401 Phone: 931-840-9991
Lori Natalie Duncan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Nashville Hwy, Columbia, TN 38401 Phone: 931-388-8965 Fax: 931-840-8520
Megan Gordon Manor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Jenland Dr, Columbia, TN 38401 Phone: 931-381-3030 Fax: 931-381-6220
Ms. Racheal M Howell, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535
Jeannie Auville Seaborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 S Garden St, Columbia, TN 38401 Phone: 931-548-8090
Christy M Cone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Nashville Hwy, Suite 200, Columbia, TN 38401 Phone: 931-540-4210 Fax: 931-380-1202

Shelby Kelley, - Medicare Nurse Practitioner in Columbia, TN