Kelly Ann Mash, is a medicare enrolled "Family Medicine" in Lorain, Ohio. Her current practice location is
3700 Kolbe Rd, Lorain, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 644-6621.
Kelly Ann Mash is licensed to practice in Ohio (license number APRN.CNP.0036816) 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 1336984194.
Provider's Profile
| Full Name | Kelly Ann Mash |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3700 Kolbe Rd, Lorain, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336984194
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941741862
- Enrollment ID: I20240919000319
Medical Identifiers
Medical identifiers for Kelly Ann Mash such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336984194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036816 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | APRN.CNP.0036816 (Ohio) | 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. Kelly Ann Mash allows following entities to bill medicare on her behalf.
| Entity Name | Allen Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841902814
PECOS PAC ID: 9739554379
Enrollment ID: O20230412001703 |
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| Entity Name | Lorain Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427760487
PECOS PAC ID: 0244605608
Enrollment ID: O20230417002556 |
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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. Kelly Ann Mash 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 |
|---|
Kelly Ann Mash,
2781 Country Club Blvd,
Rocky River, OH 44116-2370
Ph: (216) 644-6621 | Kelly Ann Mash,
3700 Kolbe Rd,
Lorain, OH 44053-1611
Ph: (216) 644-6621 |
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