Kellie Barbara Ann Ploense, FNP-C in Big Bear Lake, CA

Kellie Barbara Ann Ploense, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Big Bear Lake, California. Her current practice location is 41945 Big Bear Blvd, Big Bear Lake, California. You can reach out to her office (for appointments etc.) via phone at (909) 866-6567.

Kellie Barbara Ann Ploense is licensed to practice in California (license number 95003840) 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 1942669940.

Contact Information

	Kellie Barbara Ann Ploense, FNP-C
	41945 Big Bear Blvd, Big Bear Lake, CA 92315
	(909) 866-6567
	(909) 866-7025

Map and Direction

Provider's Profile

Full Name	Kellie Barbara Ann Ploense
Gender	Female
Speciality	Nurse Practitioner - Family
Location	41945 Big Bear Blvd, Big Bear Lake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942669940
Provider Enumeration Date: 02/18/2016
Last Update Date: 09/05/2019

Medicare PECOS Information:

PECOS PAC ID: 4981022621
Enrollment ID: I20200914000712

Medical Identifiers

Medical identifiers for Kellie Barbara Ann Ploense such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942669940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95003840 (California)	Primary

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. Kellie Barbara Ann Ploense 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
Kellie Barbara Ann Ploense, FNP-C P.o. Box 6848, Pmb 278, Big Bear Lake, CA 92315 Ph: () -	Kellie Barbara Ann Ploense, FNP-C 41945 Big Bear Blvd, Big Bear Lake, CA 92315 Ph: (909) 866-6567

Reviews and Comments

Nurse Practitioner Nurses in Big Bear Lake, CA

Miss Kita Lastrape, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315 Phone: 909-866-5070
Kimberly Brooke Delandtsheer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42002 Fox Farm Rd, Big Bear Lake, CA 92315 Phone: 909-878-8000
Mrs. Melissa Ann Staricka, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 370 Summit Blvd, Big Bear Lake, CA 92315 Phone: 909-878-8246
Adriana Denise Lopez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 484 Edgemoor Road, Big Bear Lake, CA 92315 Phone: 909-273-3493
Kelli Gora, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41870 Garstin Rd., Big Bear Lake, CA 92315 Phone: 909-878-8294
Ms. Tasha Nicole Lowery, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315 Phone: 909-866-8501
Jamie Davidson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41820 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-878-8246

Kellie Barbara Ann Ploense, FNP-C - Medicare Nurse Practitioner in Big Bear Lake, CA