Kelly Ann Nye Small, in Hagerstown, MD - Medicare Nurse Practitioner

Kelly Ann Nye Small, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hagerstown, Maryland. Her current practice location is 120 N Potomac St, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 790-4938.

Kelly Ann Nye Small is licensed to practice in Maryland (license number R119093) 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 1063198810.

Contact Information

	Kelly Ann Nye Small,
	120 N Potomac St, Hagerstown, MD 21740-4810
	(301) 790-4938
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ann Nye Small
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	120 N Potomac St, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063198810
Provider Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1153777297
Enrollment ID: I20231026001487

Medical Identifiers

Medical identifiers for Kelly Ann Nye Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063198810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R119093 (Maryland)	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 Nye Small allows following entities to bill medicare on her behalf.

Entity Name	Black Rock Integrative Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285102764 PECOS PAC ID: 1052793312 Enrollment ID: O20220803000141

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 Nye Small 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 Nye Small, 17500 York Rd Ste 200, Hagerstown, MD 21740-7599 Ph: (301) 908-2525	Kelly Ann Nye Small, 120 N Potomac St, Hagerstown, MD 21740-4810 Ph: (301) 790-4938

Reviews and Comments

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Kelly Ann Nye Small, - Medicare Nurse Practitioner in Hagerstown, MD