Kelly Davis Hernandez, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Reston, Virginia. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inova Physician Partners Llc and her current practice location is
12330 Pinecrest Rd Ste 250, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 476-1050.
Kelly Davis Hernandez is licensed to practice in Virginia (license number 0024180365) 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 1023618261.
Physician's Profile
| Full Name | Kelly Davis Hernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 12330 Pinecrest Rd Ste 250, Reston, Virginia |
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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:
- Kelly Davis Hernandez graduated from medical school in 2020
NPI Data:
- NPI Number: 1023618261
- Provider Enumeration Date: 10/27/2020
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476966243
- Enrollment ID: I20210115001765
Medical Identifiers
Medical identifiers for Kelly Davis Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023618261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0024180365 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024180365 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inova Physician Partners Llc | 2466581772 | 300 |
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. Kelly Davis Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Inova Physician Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215264916
PECOS PAC ID: 2466581772
Enrollment ID: O20100525000846 |
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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. Kelly Davis Hernandez 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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Kelly Davis Hernandez, FNP
Po Box 37189,
Baltimore, MD 21297-3189
Ph: (571) 423-5699 | Kelly Davis Hernandez, FNP
12330 Pinecrest Rd Ste 250,
Reston, VA 20191-1657
Ph: (703) 476-1050 |
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