Chante Kelliebrew, in Crownsville, MD - Medicare Nurse Practitioner

Chante Kelliebrew, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crownsville, Maryland. Her current practice location is 2008 Saint Stephens Woods Dr, Crownsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 489-8555.

Chante Kelliebrew is licensed to practice in Maryland (license number R230876) 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 1477242188.

Contact Information

	Chante Kelliebrew,
	2008 Saint Stephens Woods Dr, Crownsville, MD 21032-2200
	(202) 489-8555
	Not Available

Map and Direction

Provider's Profile

Full Name	Chante Kelliebrew
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2008 Saint Stephens Woods Dr, Crownsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477242188
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4688029531
Enrollment ID: I20231012000629

Medical Identifiers

Medical identifiers for Chante Kelliebrew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477242188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R230876 (Maryland)	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. Chante Kelliebrew allows following entities to bill medicare on her behalf.

Entity Name	Boundless Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306573761 PECOS PAC ID: 7214310317 Enrollment ID: O20220823002498

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. Chante Kelliebrew 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
Chante Kelliebrew, 2008 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 Ph: (202) 489-8555	Chante Kelliebrew, 2008 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 Ph: (202) 489-8555

Reviews and Comments

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Chante Kelliebrew, - Medicare Nurse Practitioner in Crownsville, MD