Kelly Magrum, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Monroe, Michigan. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Memorial Hospital Corporation and her current practice location is
650 Stewart Rd, Monroe, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 240-8430.
Kelly Magrum is licensed to practice in Michigan (license number 4704260469) 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 1043672587.
Physician's Profile
| Full Name | Kelly Magrum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 650 Stewart Rd, Monroe, Michigan |
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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 Magrum graduated from medical school in 2015
NPI Data:
- NPI Number: 1043672587
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 12/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274822481
- Enrollment ID: I20160721002339
Medical Identifiers
Medical identifiers for Kelly Magrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043672587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 4704260469 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704260469 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Memorial Hospital Corporation | 7012811615 | 13 |
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 Magrum allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Corporation Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588624696
PECOS PAC ID: 7012902265
Enrollment ID: O20040416001163 |
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| Entity Name | Mercy Memorial Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811097223
PECOS PAC ID: 7012811615
Enrollment ID: O20061212000299 |
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| Entity Name | Promedica Monroe Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194078055
PECOS PAC ID: 2365696176
Enrollment ID: O20130201000483 |
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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 Magrum 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 Magrum, NP-C
1 Seagate, Ste 800,
Toledo, OH 43604-1558
Ph: (419) 367-9691 | Kelly Magrum, NP-C
650 Stewart Rd,
Monroe, MI 48162-4222
Ph: (734) 240-8430 |
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