Kelley Marie Young, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ravenna, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ravenna Family Practice Pc and her current practice location is
12520 Crockery Creek Drive, Ravenna, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 853-2954.
Kelley Marie Young is licensed to practice in Michigan (license number 4704210304) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346413309.
Provider's Profile
| Full Name | Kelley Marie Young |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 12520 Crockery Creek Drive, Ravenna, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelley Marie Young graduated from nursing school in 2002
NPI Data:
- NPI Number: 1346413309
- Provider Enumeration Date: 04/10/2008
- Last Update Date: 04/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 9638166341
- Enrollment ID: I20040426001708
Medical Identifiers
Medical identifiers for Kelley Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346413309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704210304 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ravenna Family Practice Pc | 8224023148 | 3 |
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. Kelley Marie Young allows following entities to bill medicare on her behalf.
| Entity Name | Ravenna Family Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497928469
PECOS PAC ID: 8224023148
Enrollment ID: O20040423001167 |
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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. Kelley Marie Young 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 |
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Kelley Marie Young, FNP
12520 Crockery Creek Drive, P.o. Box 179,
Ravenna, MI 49451-0179
Ph: (231) 853-2954 | Kelley Marie Young, FNP
12520 Crockery Creek Drive,
Ravenna, MI 49451
Ph: (231) 853-2954 |
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