Mrs Jayme E Kelly, APRN BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Aurora, Indiana. Her current practice location is
416 Sunnyside Ave, Aurora, Indiana. You can reach out to her office (for appointments etc.) via phone at
(859) 468-1780.
Mrs Jayme E Kelly is licensed to practice in Indiana (license number 71003051A) 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 1083815450.
Provider's Profile
| Full Name | Mrs Jayme E Kelly |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 416 Sunnyside Ave, Aurora, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083815450
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375735764
- Enrollment ID: I20210930000422
Medical Identifiers
Medical identifiers for Mrs Jayme E Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083815450 | NPI | - | NPPES |
| 2846611 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.12313 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP 5095P (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | COA.12313.NP (Ohio) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 832428 (Nevada) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 71003051A (Indiana) | 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. Mrs Jayme E Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Vegas Cares Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437570348
PECOS PAC ID: 6709158892
Enrollment ID: O20170824001683 |
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| Entity Name | Behavioral Health Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548765258
PECOS PAC ID: 4385998954
Enrollment ID: O20181116002509 |
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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. Mrs Jayme E 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 |
|---|
Mrs Jayme E Kelly, APRN BC
416 Sunnyside Ave,
Aurora, IN 47001-1526
Ph: (859) 468-1780 | Mrs Jayme E Kelly, APRN BC
416 Sunnyside Ave,
Aurora, IN 47001-1526
Ph: (859) 468-1780 |
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