Shelly Ann Kelly, ARNP in Tulsa, OK - Medicare Nurse Practitioner

Shelly Ann Kelly, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. Her current practice location is 2488 E 81st St Ste 290, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 494-2665.

Shelly Ann Kelly is licensed to practice in Oklahoma (license number 79099) 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 1508168238.

Contact Information

	Shelly Ann Kelly, ARNP
	2488 E 81st St Ste 290, Tulsa, OK 74137-4265
	(918) 494-2665
	(918) 927-3193

Map and Direction

Provider's Profile

Full Name	Shelly Ann Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2488 E 81st St Ste 290, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508168238
Provider Enumeration Date: 12/01/2010
Last Update Date: 12/30/2020

Medicare PECOS Information:

PECOS PAC ID: 9234302373
Enrollment ID: I20111104000373

Medical Identifiers

Medical identifiers for Shelly Ann Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508168238	NPI	-	NPPES
200314980A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	79099 (Oklahoma)	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. Shelly Ann Kelly allows following entities to bill medicare on her behalf.

Entity Name	B3w Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528351780 PECOS PAC ID: 8921279076 Enrollment ID: O20110921000166

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. Shelly Ann 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
Shelly Ann Kelly, ARNP 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 Ph: (918) 927-3226	Shelly Ann Kelly, ARNP 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 Ph: (918) 494-2665

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
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Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Shelly Ann Kelly, ARNP - Medicare Nurse Practitioner in Tulsa, OK