James Patrick Thomas Kelley, NP in Spartanburg, SC

James Patrick Thomas Kelley, NP is a medicare enrolled "Nurse Practitioner - Family" in Spartanburg, South Carolina. His current practice location is 1200 E Main St Ste 12, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-9260.

James Patrick Thomas Kelley is licensed to practice in South Carolina (license number 22319) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902361611.

Contact Information

	James Patrick Thomas Kelley, NP
	1200 E Main St Ste 12, Spartanburg, SC 29307-1738
	(864) 560-9260
	(864) 560-9265

Map and Direction

Provider's Profile

Full Name	James Patrick Thomas Kelley
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1200 E Main St Ste 12, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902361611
Provider Enumeration Date: 02/06/2019
Last Update Date: 01/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6305186214
Enrollment ID: I20190312002840

Medical Identifiers

Medical identifiers for James Patrick Thomas Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902361611	NPI	-	NPPES
SCE6826067	Other	SC	MEDICARE PIN
NP5742	Medicaid	SC
SCE6826084	Other	SC	MEDICARE PIN
SCE682J577	Other	SC	MEDICARE PIN
SCE6826121	Other	SC	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	22319 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	22319 (South Carolina)	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. James Patrick Thomas Kelley allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577

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. James Patrick Thomas Kelley 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
James Patrick Thomas Kelley, NP Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	James Patrick Thomas Kelley, NP 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 Ph: (864) 560-9260

Reviews and Comments

Nurse Practitioner Nurses in Spartanburg, SC

David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Dillon Dr, Spartanburg, SC 29307 Phone: 865-560-2227
Nicole Elizabeth Longo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303 Phone: 864-582-6396 Fax: 864-582-1608
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051

James Patrick Thomas Kelley, NP - Medicare Nurse Practitioner in Spartanburg, SC