Kelley Mccarthy, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greendale, Wisconsin. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Racine Anesthesia Services Llc and her current practice location is
5332 Mansfield Dr, Greendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 858-6453.
Kelley Mccarthy is licensed to practice in Wisconsin (license number 232136) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316614472.
Provider's Profile
| Full Name | Kelley Mccarthy |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 5332 Mansfield Dr, Greendale, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelley Mccarthy graduated from nursing school in 2023
NPI Data:
- NPI Number: 1316614472
- Provider Enumeration Date: 08/26/2021
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901267806
- Enrollment ID: I20230725001040
Medical Identifiers
Medical identifiers for Kelley Mccarthy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316614472 | NPI | - | NPPES |
| 100244228 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 236126-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 232136 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Racine Anesthesia Services Llc | 8628103777 | 68 |
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. Kelley Mccarthy allows following entities to bill medicare on her behalf.
| Entity Name | Racine Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467782748
PECOS PAC ID: 8628103777
Enrollment ID: O20100316000106 |
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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. Kelley Mccarthy 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 |
|---|
Kelley Mccarthy,
5332 Mansfield Dr,
Greendale, WI 53129-1221
Ph: (920) 858-6453 | Kelley Mccarthy,
5332 Mansfield Dr,
Greendale, WI 53129-1221
Ph: (920) 858-6453 |
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