Kelley Wise, in Palm Coast, FL - Medicare Nurse Practitioner

Kelley Wise, is a medicare enrolled "Family Medicine" physician in Palm Coast, Florida. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palm Harbor Family Practice And Walk-in Clinic, P.a and her current practice location is 9 Pine Cone Dr Ste 102, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 445-6191.

Kelley Wise is licensed to practice in Florida (license number APRN11004755) 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 1023656600.

Contact Information

	Kelley Wise,
	9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683
	(386) 445-6191
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelley Wise
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	9 Pine Cone Dr Ste 102, Palm Coast, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelley Wise graduated from medical school in 2019

NPI Data:

NPI Number: 1023656600
Provider Enumeration Date: 12/14/2019
Last Update Date: 02/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1456577253
Enrollment ID: I20200207000535

Medical Identifiers

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

Identifier	Type	State	Issuer
1023656600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	APRN11004755 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trilogy Home Healthcare	Jacksonville, FL	Home health agency
Brooks Rehabilitation Home Health	Jacksonville, FL	Home health agency
Florida Hospital Flagler	Palm coast, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palm Harbor Family Practice And Walk-in Clinic, P.a	9133108541	9

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 Wise allows following entities to bill medicare on her behalf.

Entity Name	Palm Harbor Family Practice And Walk-in Clinic, P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831311810 PECOS PAC ID: 9133108541 Enrollment ID: O20040719000940

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 Wise 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
Kelley Wise, 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 Ph: (386) 445-6191	Kelley Wise, 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 Ph: (386) 445-6191

Reviews and Comments

Family Medicine Doctors in Palm Coast, FL

Erin Hough, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Cypress Edge Dr Ste 202, Palm Coast, FL 32164 Phone: 386-589-4462
Dr. Donnette Felice Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Hospital Dr, Suite 290, Palm Coast, FL 32164 Phone: 386-437-7977 Fax: 386-437-7732
Dr. Michael John Parsons, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 309 Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-445-7073
Dr. John G. Symeonides, MD, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Cypress Point Pkwy, Unit 105, Palm Coast, FL 32164 Phone: 386-283-5654
Dr. Jeffrey Ward, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3813, Palm Coast, FL 32164 Phone: 386-586-1710 Fax: 386-586-1711
Gregory F Macisaac, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Cypress Edge Dr, Suite 210, Palm Coast, FL 32164 Phone: 386-445-4750 Fax: 386-445-4751

Kelley Wise, - Medicare Nurse Practitioner in Palm Coast, FL