Kellie Pack, NP in Jasper, GA - Medicare Nurse Practitioner

Kellie Pack, NP is a medicare enrolled "Nurse Practitioner - Family" in Jasper, Georgia. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Surgical Professional Services Llc and her current practice location is 220 J L White Dr, Suite 120, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 692-3539.

Kellie Pack is licensed to practice in Georgia (license number RN197369) 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 1336542943.

Contact Information

	Kellie Pack, NP
	220 J L White Dr, Suite 120, Jasper, GA 30143-4893
	(706) 692-3539
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Pack
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	220 J L White Dr, Jasper, Georgia
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:

Kellie Pack graduated from nursing school in 2014

NPI Data:

NPI Number: 1336542943
Provider Enumeration Date: 09/27/2014
Last Update Date: 09/27/2014

Medicare PECOS Information:

PECOS PAC ID: 4486979531
Enrollment ID: I20150211002124

Medical Identifiers

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

Identifier	Type	State	Issuer
1336542943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN197369 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Surgical Professional Services Llc	8628253424	332

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 Pack allows following entities to bill medicare on her behalf.

Entity Name	Northside Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598

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 Pack 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 Pack, NP 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 692-3539	Kellie Pack, NP 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 692-3539

Reviews and Comments

Nurse Practitioner Nurses in Jasper, GA

Cristy Weems, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954
Mrs. Mattie Elizabeth Hollar, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53 Gordon Rd Ste 101, Jasper, GA 30143 Phone: 706-692-9768 Fax: 706-692-4040
Trang Mai Nguyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 110a, Jasper, GA 30143 Phone: 706-299-2220
Kimberly New Parker, FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768
Brooke B Childers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539
Emily S Cummins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Old Philadelphia Rd Ste G100, Jasper, GA 30143 Phone: 678-971-4167 Fax: 706-253-7060
Julie Freeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954

Kellie Pack, NP - Medicare Nurse Practitioner in Jasper, GA