Kellie Marie Decalogero, APRN in Burlington, MA

Kellie Marie Decalogero, APRN is a medicare enrolled "Nurse Practitioner" in Burlington, Massachusetts. Her current practice location is 41 Mall Road, 41 Mall Road, Burlington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 744-8000.

Kellie Marie Decalogero is licensed to practice in Massachusetts (license number RN2680606) 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 1437588803.

Contact Information

	Kellie Marie Decalogero, APRN
	41 Mall Road, 41 Mall Road, Burlington, MA 01805
	(781) 744-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Marie Decalogero
Gender	Female
Speciality	Nurse Practitioner
Location	41 Mall Road, Burlington, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437588803
Provider Enumeration Date: 11/06/2013
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0749411551
Enrollment ID: I20140320000114

Medical Identifiers

Medical identifiers for Kellie Marie Decalogero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437588803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	# 055508-23 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	RN2680606 (Massachusetts)	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. Kellie Marie Decalogero allows following entities to bill medicare on her behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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 Marie Decalogero 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 Marie Decalogero, APRN 41 Mall Rd, 41 Mall Road, Burlington, MA 01805 Ph: (781) 744-8000	Kellie Marie Decalogero, APRN 41 Mall Road, 41 Mall Road, Burlington, MA 01805 Ph: (781) 744-8000

Reviews and Comments

Nurse Practitioner Nurses in Burlington, MA

Marlene A Brady, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2600 Fax: 781-221-2510
Thais Bitencourt Roberts, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000
Deirdre Johanna Burke, NP, MPH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 380, Burlington, MA 01803 Phone: 781-653-4281
Corinne Prigo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000
Kayleigh Cavender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 781-744-5100
Nicole Annette Clarke Jagodowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2800
Mrs. Jennifer Frias, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273

Kellie Marie Decalogero, APRN - Medicare Nurse Practitioner in Burlington, MA