Kelli J Short, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eden, Texas. Her current practice location is
551 Eaker Street, Eden, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 869-8811.
Kelli J Short is licensed to practice in Texas (license number 629727) 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 1932177961.
Provider's Profile
Full Name | Kelli J Short |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 551 Eaker Street, Eden, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932177961
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 11/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608789987
- Enrollment ID: I20031112000197
Medical Identifiers
Medical identifiers for Kelli J Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932177961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 629727 (Texas) | 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. Kelli J Short allows following entities to bill medicare on her behalf.
Entity Name | Falls Community Hospital And Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093743783 PECOS PAC ID: 8527959816 Enrollment ID: O20040324000971 |
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Entity Name | Certified Nurse Practitioners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194901413 PECOS PAC ID: 3173694031 Enrollment ID: O20080619000649 |
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Entity Name | Ucp Physicians Of Central Texas, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
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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. Kelli J Short 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 |
Kelli J Short, FNP Po Box 172, Lohn, TX 76852-0172 Ph: (325) 344-5566 | Kelli J Short, FNP 551 Eaker Street, Eden, TX 76837-0989 Ph: (325) 869-8811 |
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