Nicole C Kelly, MD in Vancouver, WA - Medicare Emergency Medicine

Nicole C Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Vancouver, Washington. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Central Oregon Emergency Physicians Llc and her current practice location is 600 Ne 92nd Ave, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 514-2142.

Nicole C Kelly is licensed to practice in Washington (license number MD00040898) 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 1669410932.

Contact Information

	Nicole C Kelly, MD
	600 Ne 92nd Ave, Vancouver, WA 98664-3225
	(360) 514-2142
	(360) 514-6820

Map and Direction

Physician's Profile

Full Name	Nicole C Kelly
Gender	Female
Speciality	Emergency Medicine
Experience	25 Years
Location	600 Ne 92nd Ave, Vancouver, Washington
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:

Nicole C Kelly graduated from medical school in 1999

NPI Data:

NPI Number: 1669410932
Provider Enumeration Date: 06/02/2006
Last Update Date: 09/26/2012

Medicare PECOS Information:

PECOS PAC ID: 4183515406
Enrollment ID: I20040324000463

Medical Identifiers

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

Identifier	Type	State	Issuer
1669410932	NPI	-	NPPES
8316721	Medicaid	WA
278149	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD00040898 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oregon Emergency Physicians Llc	6406926211	27

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. Nicole C Kelly allows following entities to bill medicare on her behalf.

Entity Name	Central Oregon Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376714543 PECOS PAC ID: 6406926211 Enrollment ID: O20080605000639

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. Nicole C Kelly 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
Nicole C Kelly, MD File 742997, Los Angeles, CA 90074-2997 Ph: (360) 514-2142	Nicole C Kelly, MD 600 Ne 92nd Ave, Vancouver, WA 98664-3225 Ph: (360) 514-2142

Reviews and Comments

Emergency Medicine Doctors in Vancouver, WA

Dr. Andrew Douglass Zechnich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228
Jeff S Brent, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778
Dr. Erin Meadows, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 559-250-7564
Megumi S Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000
Dr. Jamie Mcginnity, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000
George T Lin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400
Daniel M Bissell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400

Nicole C Kelly, MD - Medicare Emergency Medicine in Vancouver, WA