Holley Nanette Kelley, DO in Lake Charles, LA

Holley Nanette Kelley, DO is a medicare enrolled "Family Medicine" physician in Lake Charles, Louisiana. Her current practice location is 4345 Nelson Rd, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 480-7900.

Holley Nanette Kelley is licensed to practice in Louisiana (license number DO.000350) 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 1225234701.

Contact Information

	Holley Nanette Kelley, DO
	4345 Nelson Rd, Lake Charles, LA 70605-4119
	(337) 480-7900
	(337) 480-7901

Map and Direction

Physician's Profile

Full Name	Holley Nanette Kelley
Gender	Female
Speciality	Family Medicine
Location	4345 Nelson Rd, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225234701
Provider Enumeration Date: 06/22/2007
Last Update Date: 09/14/2016

Medicare PECOS Information:

PECOS PAC ID: 5496934572
Enrollment ID: I20140329000051

Medical Identifiers

Medical identifiers for Holley Nanette Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225234701	NPI	-	NPPES
2355392	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0534293 (Kansas)	Secondary
207Q00000X	Family Medicine	DO.000350 (Louisiana)	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. Holley Nanette Kelley allows following entities to bill medicare on her behalf.

Entity Name	Lake Charles Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306135892 PECOS PAC ID: 1052580644 Enrollment ID: O20110817000061

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. Holley Nanette 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
Holley Nanette Kelley, DO Po Box123594, Dept 2394, Dallas, TX 75312-3594 Ph: (337) 480-7900	Holley Nanette Kelley, DO 4345 Nelson Rd, Lake Charles, LA 70605-4119 Ph: (337) 480-7900

Reviews and Comments

Family Medicine Doctors in Lake Charles, LA

Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061
Elvira Delbar Kazemyan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2023 Fax: 337-630-6966

Holley Nanette Kelley, DO - Medicare Family Medicine in Lake Charles, LA