Stacey L Kelley, FNP-C in Portland, ME - Medicare Nurse Practitioner

Stacey L Kelley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-2526.

Stacey L Kelley is licensed to practice in Maine (license number CNP81415) 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 1033188263.

Contact Information

	Stacey L Kelley, FNP-C
	22 Bramhall St, Portland, ME 04102-3134
	(207) 662-2526
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey L Kelley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	22 Bramhall St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033188263
Provider Enumeration Date: 03/17/2006
Last Update Date: 11/10/2015

Medicare PECOS Information:

PECOS PAC ID: 1557398245
Enrollment ID: I20050725000763

Medical Identifiers

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

Identifier	Type	State	Issuer
1033188263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP81415 (Maine)	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. Stacey L Kelley allows following entities to bill medicare on her behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

Entity Name	Maine Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073527388 PECOS PAC ID: 9335043967 Enrollment ID: O20050401000844

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. Stacey L 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
Stacey L Kelley, FNP-C 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-7800	Stacey L Kelley, FNP-C 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-2526

Reviews and Comments

Nurse Practitioner Nurses in Portland, ME

Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133

Stacey L Kelley, FNP-C - Medicare Nurse Practitioner in Portland, ME