Kelly Bhuva, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Glen Rock, New Jersey. Her current practice location is
655 Doremus Ave, Glen Rock, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 674-4643.
Kelly Bhuva is licensed to practice in New Jersey (license number 26NJ01323500) 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 1619427614.
Provider's Profile
| Full Name | Kelly Bhuva |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 655 Doremus Ave, Glen Rock, New Jersey |
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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: 1619427614
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911288600
- Enrollment ID: I20170112000637
Medical Identifiers
Medical identifiers for Kelly Bhuva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619427614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 382678 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ01323500 (New Jersey) | 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 Bhuva allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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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 Bhuva 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 |
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Kelly Bhuva, CPNP
655 Doremus Ave,
Glen Rock, NJ 07452-2034
Ph: () - | Kelly Bhuva, CPNP
655 Doremus Ave,
Glen Rock, NJ 07452-2034
Ph: (732) 674-4643 |
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