Candace P Kelly, in Grundy, VA - Medicare Nurse Practitioner

Candace P Kelly, is a medicare enrolled "Nurse Practitioner - Family" in Grundy, Virginia. Her current practice location is 1520 Slate Creek Rd Ste 201, Grundy, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 242-2001.

Candace P Kelly is licensed to practice in Virginia (license number 0024185682) 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 1700593076.

Contact Information

	Candace P Kelly,
	1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975
	(276) 242-2001
	(276) 312-8337

Map and Direction

Provider's Profile

Full Name	Candace P Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1520 Slate Creek Rd Ste 201, Grundy, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700593076
Provider Enumeration Date: 11/04/2022
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1456793512
Enrollment ID: I20240522000011

Medical Identifiers

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

Identifier	Type	State	Issuer
1700593076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024185682 (Virginia)	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. Candace P Kelly allows following entities to bill medicare on her behalf.

Entity Name	Ohio Valley Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20200124001561

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. Candace P 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
Candace P Kelly, Po Box 390, Huntington, WV 25708-0390 Ph: (304) 429-1088	Candace P Kelly, 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001

Reviews and Comments

Nurse Practitioner Nurses in Grundy, VA

Angela Horn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 2513, Grundy, VA 24614 Phone: 276-971-9283
Jenny Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-242-2001
Tammy Hurley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2484 Convict Hollow Rd, Grundy, VA 24614 Phone: 276-312-3980
Freda Y Powers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Slate Creek Rd, Ste 106, Grundy, VA 24614 Phone: 276-935-1760 Fax: 276-935-1762
Mrs. Laura Catherine Potter, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19847 Riverside Dr, Grundy, VA 24614 Phone: 276-248-0800 Fax: 276-248-0814
Haley Reed Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-1000
Craig Dwayne Viers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-2149

Candace P Kelly, - Medicare Nurse Practitioner in Grundy, VA