Coreen Kelly, - Medicare Nurse Practitioner in Daytona Beach, FL

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Coreen Kelly, is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. Her current practice location is 1430 Mason Ave, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 274-2000.

Coreen Kelly is licensed to practice in Florida (license number APRN11006345) 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 1790319994.

Contact Information

Coreen Kelly,
1430 Mason Ave,
Daytona Beach, FL 32117-4551
(386) 274-2000
(386) 274-2009

Map and Direction




Provider's Profile

Full NameCoreen Kelly
GenderFemale
SpecialityNurse Practitioner
Location1430 Mason Ave, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790319994
  • Provider Enumeration Date: 02/26/2020
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082090238
  • Enrollment ID: I20220926003034

Medical Identifiers

Medical identifiers for Coreen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790319994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11006345 (Florida)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. Coreen Kelly allows following entities to bill medicare on her behalf.
Entity NameDna Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609117647
PECOS PAC ID: 7618108978
Enrollment ID: O20140331000084
Entity NamePain And Spine Specialists Of Maryland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174884258
PECOS PAC ID: 2668628124
Enrollment ID: O20220609002285

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. Coreen 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 AddressPractice Location Address
Coreen Kelly,
1862 Silver Fern Rd,
Port Orange, FL 32128-6741

Ph: (518) 409-3502		Coreen Kelly,
1430 Mason Ave,
Daytona Beach, FL 32117-4551

Ph: (386) 274-2000

Reviews and Comments


Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Milton Rd, Daytona Beach, FL 32118
Phone: 970-260-0885    
Debra Dowell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-257-1626    Fax: 866-486-1253
Bruce Harris, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118
Phone: 386-767-9544    
Cloressa Dizney, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Lyne E Homeus,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117
Phone: 386-274-0500    
Souad Omri, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-615-0900    
Gena Genovese Brennan, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-353-7633    Fax: 386-615-4105

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.