Alyxandrea Marie Kelly, PMHNP in Saint Louis, MO

Alyxandrea Marie Kelly, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Louis, Missouri. Her current practice location is 777 Craig Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (231) 970-0460.

Alyxandrea Marie Kelly is licensed to practice in Missouri (license number 2024000884) 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 1932784105.

Contact Information

	Alyxandrea Marie Kelly, PMHNP
	777 Craig Rd, Saint Louis, MO 63141-7276
	(231) 970-0460
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyxandrea Marie Kelly
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	777 Craig Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932784105
Provider Enumeration Date: 03/10/2021
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6305283318
Enrollment ID: I20240326004189

Medical Identifiers

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

Identifier	Type	State	Issuer
1932784105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704313495 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2024000884 (Missouri)	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. Alyxandrea Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Clinical Research Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261

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. Alyxandrea Marie 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
Alyxandrea Marie Kelly, PMHNP 1441 Brock St, Saint Louis, MO 63139-3617 Ph: (231) 970-0460	Alyxandrea Marie Kelly, PMHNP 777 Craig Rd, Saint Louis, MO 63141-7276 Ph: (231) 970-0460

Reviews and Comments

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Alyxandrea Marie Kelly, PMHNP - Medicare Nurse Practitioner in Saint Louis, MO