Theresa A Kelly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Honesdale, PA

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Theresa A Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Honesdale, Pennsylvania. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice 360 Anesthesia Pllc, Evangelical Medical Services Organization and her current practice location is 601 Park St, Honesdale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 647-4381.

Theresa A Kelly is licensed to practice in Pennsylvania (license number RN298133L) 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 1003087776.

Contact Information

Theresa A Kelly, CRNA
601 Park St,
Honesdale, PA 18431-1445
(570) 647-4381
Not Available

Map and Direction




Provider's Profile

Full NameTheresa A Kelly
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience24 Years
Location601 Park St, Honesdale, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa A Kelly graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1003087776
  • Provider Enumeration Date: 03/20/2008
  • Last Update Date: 10/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4082668660
  • Enrollment ID: I20050307000370

Medical Identifiers

Medical identifiers for Theresa A Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003087776NPI-NPPES
P00952243OtherPARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN298133L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Evangelical Community HospitalLewisburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
360 Anesthesia Pllc599118486388
Evangelical Medical Services Organization9133033087229

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. Theresa A Kelly allows following entities to bill medicare on her behalf.
Entity NameGastrointestinal Consultants Of Nepa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912905605
PECOS PAC ID: 4183518269
Enrollment ID: O20040210000668
Entity NameEvangelical Medical Services Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295834984
PECOS PAC ID: 9133033087
Enrollment ID: O20040310000212
Entity NameTwin Rivers Gastroenterology Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154543486
PECOS PAC ID: 4880589100
Enrollment ID: O20040406000857
Entity NameCapital Anesthesia Solutions Of Philadelphia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407402365
PECOS PAC ID: 5597197046
Enrollment ID: O20191121001321
Entity Name360 Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811637366
PECOS PAC ID: 5991184863
Enrollment ID: O20220623001003

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. Theresa A 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 AddressPractice Location Address
Theresa A Kelly, CRNA
Po Box 49,
Pittsburgh, PA 15230-0049

Ph: (570) 647-4381		Theresa A Kelly, CRNA
601 Park St,
Honesdale, PA 18431-1445

Ph: (570) 647-4381

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Honesdale, PA

Jennifer Cilia, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 601 Park St, Honesdale, PA 18431
Phone: 570-253-8112    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.