Adrienne Laquinn Kelly, NP in Conyers, GA - Medicare Nurse Practitioner

Adrienne Laquinn Kelly, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Conyers, Georgia. Her current practice location is 3281 Old Salem Rd Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 754-9703.

Adrienne Laquinn Kelly is licensed to practice in Georgia (license number 224569) 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 1720634199.

Contact Information

	Adrienne Laquinn Kelly, NP
	3281 Old Salem Rd Se, Conyers, GA 30013-2257
	(404) 754-9703
	Not Available

Map and Direction

Provider's Profile

Full Name	Adrienne Laquinn Kelly
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3281 Old Salem Rd Se, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720634199
Provider Enumeration Date: 08/12/2019
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 4284046251
Enrollment ID: I20201215003403

Medical Identifiers

Medical identifiers for Adrienne Laquinn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720634199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	224569 (Georgia)	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. Adrienne Laquinn Kelly allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Longleaf Hospice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427206960 PECOS PAC ID: 6305904939 Enrollment ID: O20191231000147

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. Adrienne Laquinn 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
Adrienne Laquinn Kelly, NP 3281 Old Salem Rd Se, Conyers, GA 30013-2257 Ph: (404) 754-9703	Adrienne Laquinn Kelly, NP 3281 Old Salem Rd Se, Conyers, GA 30013-2257 Ph: (404) 754-9703

Reviews and Comments

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Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662
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Adrienne Laquinn Kelly, NP - Medicare Nurse Practitioner in Conyers, GA