Jennifer Margaret Laidley-kelly, CRNP in Edgewood, MD

Jennifer Margaret Laidley-kelly, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Edgewood, Maryland. Her current practice location is 2963 Siwanoy Dr, Edgewood, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 917-2792.

Jennifer Margaret Laidley-kelly is licensed to practice in Maryland (license number R143784) 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 1518742949.

Contact Information

	Jennifer Margaret Laidley-kelly, CRNP
	2963 Siwanoy Dr, Edgewood, MD 21040-3436
	(410) 917-2792
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Margaret Laidley-kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2963 Siwanoy Dr, Edgewood, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518742949
Provider Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4789901034
Enrollment ID: I20231120000098

Medical Identifiers

Medical identifiers for Jennifer Margaret Laidley-kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518742949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R143784 (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. Jennifer Margaret Laidley-kelly allows following entities to bill medicare on her behalf.

Entity Name	Fitzgerald Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902382252 PECOS PAC ID: 7214285592 Enrollment ID: O20180802001242

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041

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. Jennifer Margaret Laidley-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
Jennifer Margaret Laidley-kelly, CRNP 2963 Siwanoy Dr, Edgewood, MD 21040-3436 Ph: (410) 917-2792	Jennifer Margaret Laidley-kelly, CRNP 2963 Siwanoy Dr, Edgewood, MD 21040-3436 Ph: (410) 917-2792

Reviews and Comments

Nurse Practitioner Nurses in Edgewood, MD

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Ms. Dayon Rochelle Nelson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1952 Pulaski Hwy, Edgewood, MD 21040 Phone: 410-676-1463
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Jennifer Margaret Laidley-kelly, CRNP - Medicare Nurse Practitioner in Edgewood, MD