Lindsie Kelso, CNP is a medicare enrolled "Family Medicine" physician in Double Oak, Texas. Her current practice location is
8501 Fm 407, Double Oak, Texas. You can reach out to her office (for appointments etc.) via phone at
(505) 934-0009.
Lindsie Kelso is licensed to practice in Texas (license number 1156472) 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 1336912435.
Physician's Profile
| Full Name | Lindsie Kelso |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 8501 Fm 407, Double Oak, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336912435
- Provider Enumeration Date: 11/01/2023
- Last Update Date: 06/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749709483
- Enrollment ID: I20250527000618
Medical Identifiers
Medical identifiers for Lindsie Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336912435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1156472 (Texas) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 76561 (New Mexico) | Secondary |
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. Lindsie Kelso allows following entities to bill medicare on her behalf.
| Entity Name | Lk Medical Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023806288
PECOS PAC ID: 9830618578
Enrollment ID: O20250527000486 |
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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. Lindsie Kelso 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 |
|---|
Lindsie Kelso, CNP
2728 Mckinnon St Apt 505,
Dallas, TX 75201-1635
Ph: (055) 934-0009 | Lindsie Kelso, CNP
8501 Fm 407,
Double Oak, TX 75077-3031
Ph: (505) 934-0009 |
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