Amanda Marie Kelly, FNP in Crossville, TN - Medicare Nurse Practitioner

Amanda Marie Kelly, FNP is a medicare enrolled "Nurse Practitioner" in Crossville, Tennessee. Her current practice location is 1846 S Main St, Crossville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 787-0155.

Amanda Marie Kelly is licensed to practice in Tennessee (license number APN0000028491) 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 1629668769.

Contact Information

	Amanda Marie Kelly, FNP
	1846 S Main St, Crossville, TN 38555-6188
	(931) 787-0155
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Marie Kelly
Gender	Female
Speciality	Nurse Practitioner
Location	1846 S Main St, Crossville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629668769
Provider Enumeration Date: 01/22/2021
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4486039187
Enrollment ID: I20220916000097

Medical Identifiers

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

Identifier	Type	State	Issuer
1629668769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN0000028491 (Tennessee)	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. Amanda Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Spero Health Of Tennessee, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538628904 PECOS PAC ID: 0941683593 Enrollment ID: O20220816000418

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. Amanda 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
Amanda Marie Kelly, FNP 677 Shadberry Dr, Crossville, TN 38572-1725 Ph: (931) 787-0155	Amanda Marie Kelly, FNP 1846 S Main St, Crossville, TN 38555-6188 Ph: (931) 787-0155

Reviews and Comments

Nurse Practitioner Nurses in Crossville, TN

Lisa Marie Coontz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Crossville, TN 38555 Phone: 865-675-7522 Fax: 865-671-3196
Dustin J Moss, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 229 Interstate Dr, Suite 103, Crossville, TN 38555 Phone: 931-210-5577 Fax: 931-210-5575
Mrs. Linnea Desiree Marchand, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Bob Tollett Loop, Crossville, TN 38555 Phone: 931-456-6057 Fax: 833-989-2530
Kyle Jeffrey Charnley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 665 N Main St, Crossville, TN 38555 Phone: 931-337-0510
Elena Cravens, APN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd Ste 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 865-374-2074
Whitney Coffey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1503 S Main St, Crossville, TN 38555 Phone: 931-528-7531
Robbie R. Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd Ste 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 865-374-2074

Amanda Marie Kelly, FNP - Medicare Nurse Practitioner in Crossville, TN