Kelley Mckenna, in Thousand Oaks, CA - Medicare Nurse Practitioner

Kelley Mckenna, is a medicare enrolled "Nurse Practitioner - Family" in Thousand Oaks, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Golden State Providers, A Medical Corporation and her current practice location is 227 W Janss Rd, Suite 340, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at (805) 852-9100.

Kelley Mckenna is licensed to practice in California (license number 95004481) 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 1528410511.

Contact Information

	Kelley Mckenna,
	227 W Janss Rd, Suite 340, Thousand Oaks, CA 91360-1847
	(805) 852-9100
	(805) 852-9101

Map and Direction

Provider's Profile

Full Name	Kelley Mckenna
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	227 W Janss Rd, Thousand Oaks, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelley Mckenna graduated from nursing school in 2015

NPI Data:

NPI Number: 1528410511
Provider Enumeration Date: 07/01/2016
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1658669312
Enrollment ID: I20161012001276

Medical Identifiers

Medical identifiers for Kelley Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528410511	NPI	-	NPPES
628910	Other	CA	RN REGISTERED NURSE
95004481	Other	CA	NP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004481 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Los Robles Hospital & Medical Center	Thousand oaks, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden State Providers, A Medical Corporation	7012212475	67

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 Mckenna allows following entities to bill medicare on her behalf.

Entity Name	Golden State Providers, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539

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 Mckenna 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 Mckenna, 227 W Janss Rd, Suite 340, Thousand Oaks, CA 91360-1848 Ph: (805) 852-9100	Kelley Mckenna, 227 W Janss Rd, Suite 340, Thousand Oaks, CA 91360-1847 Ph: (805) 852-9100

Reviews and Comments

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Kelley Mckenna, - Medicare Nurse Practitioner in Thousand Oaks, CA