Kelly Jo Coon, MD is a medicare enrolled "Hospitalist" physician in Scottsbluff, Nebraska. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Warren Clinic Inc and her current practice location is
4021 Avenue B, Scottsbluff, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 630-2920.
Kelly Jo Coon is licensed to practice in Nebraska (license number 24923) 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 1003864703.
Physician's Profile
| Full Name | Kelly Jo Coon |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 4021 Avenue B, Scottsbluff, Nebraska |
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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. |
Medical Education and Training:
- Kelly Jo Coon graduated from medical school in 2002
NPI Data:
- NPI Number: 1003864703
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 06/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446262836
- Enrollment ID: I20060703000114
Medical Identifiers
Medical identifiers for Kelly Jo Coon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003864703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 28489 (Nebraska) | Secondary |
| 208M00000X | Hospitalist | 24923 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Warren Clinic Inc | 8820900293 | 693 |
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 Jo Coon allows following entities to bill medicare on her behalf.
| Entity Name | Warren Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
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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 Jo Coon 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 |
Kelly Jo Coon, MD 3911 Avenue B, Suite 2100, Scottsbluff, NE 69361-4617 Ph: (308) 630-2920 | Kelly Jo Coon, MD 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (308) 630-2920 |
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