Kelly Wyatt, in Salem, NJ - Medicare Internal Medicine

Kelly Wyatt, is a medicare enrolled "Internal Medicine" physician in Salem, New Jersey. Her current practice location is 4 Bypass Rd Ste 104, Salem, New Jersey. You can reach out to her office (for appointments etc.) via phone at (610) 619-7460.

Kelly Wyatt is licensed to practice in New Jersey (license number 26NJ00996800) 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 1033756044.

Contact Information

	Kelly Wyatt,
	4 Bypass Rd Ste 104, Salem, NJ 08079-2053
	(610) 619-7460
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Wyatt
Gender	Female
Speciality	Internal Medicine
Location	4 Bypass Rd Ste 104, Salem, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033756044
Provider Enumeration Date: 12/09/2019
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 0840626156
Enrollment ID: I20200205001241

Medical Identifiers

Medical identifiers for Kelly Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033756044	NPI	-	NPPES
1033756044	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	26NJ00996800 (New Jersey)	Secondary
207R00000X	Internal Medicine	26NJ00996800 (New Jersey)	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. Kelly Wyatt allows following entities to bill medicare on her behalf.

Entity Name	Salem Internal Medicine P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437219730 PECOS PAC ID: 6406803584 Enrollment ID: O20050331000775

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 Wyatt 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 Wyatt, 333 Hickory Ave, Aston, PA 19014-1100 Ph: (610) 306-1509	Kelly Wyatt, 4 Bypass Rd Ste 104, Salem, NJ 08079-2053 Ph: (610) 619-7460

Reviews and Comments

Internal Medicine Doctors in Salem, NJ

Dr. Denis A Tavani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 309 Route 45, Salem, NJ 08079 Phone: 856-935-0567 Fax: 856-935-7576
Prabhjot Kalsi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd, Salem, NJ 08079 Phone: 856-935-1000 Fax: 856-935-9659
Dr. Steven Park, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd, Salem, NJ 08079 Phone: 856-935-6700 Fax: 856-935-6772
Pedro Quizon Dayrit, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Pointers Auburn Rd, Mannington Medical Office, Salem, NJ 08079 Phone: 856-935-8900 Fax: 856-935-9399
Roberto R Diaz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4 Bypass Rd, Ste 203, Salem, NJ 08079 Phone: 856-339-4444 Fax: 856-339-9437

Kelly Wyatt, - Medicare Internal Medicine in Salem, NJ