Kelly Grace, CRNP in Hammonton, NJ - Medicare Nurse Practitioner

Kelly Grace, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hammonton, New Jersey. Her current practice location is 219 N White Horse Pike, Hammonton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 652-1000.

Kelly Grace is licensed to practice in New Jersey (license number 26NJ15144700) 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 1083443824.

Contact Information

	Kelly Grace, CRNP
	219 N White Horse Pike, Hammonton, NJ 08037
	(609) 652-1000
	(609) 441-8178

Map and Direction

Provider's Profile

Full Name	Kelly Grace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	219 N White Horse Pike, Hammonton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083443824
Provider Enumeration Date: 07/30/2024
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1850823675
Enrollment ID: I20241018000072

Medical Identifiers

Medical identifiers for Kelly Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083443824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP029843 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ15144700 (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 Grace allows following entities to bill medicare on her behalf.

Entity Name	Atlanticare Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405

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 Grace 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 Grace, CRNP 219 N White Horse Pike, Hammonton, NJ 08037-1896 Ph: (609) 652-1000	Kelly Grace, CRNP 219 N White Horse Pike, Hammonton, NJ 08037 Ph: (609) 652-1000

Reviews and Comments

Nurse Practitioner Nurses in Hammonton, NJ

Thomas William Lepre, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Sindoni Ln # A, Hammonton, NJ 08037 Phone: 609-561-8500
Cheyenne Nicole Wright, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-270-4260
Omonoyemhen Vivian Imoobe, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Spring Garden Rd, Hammonton, NJ 08037 Phone: 609-561-1700
Ashley Thomas, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 854 S White Horse Pike Unit 4, Hammonton, NJ 08037 Phone: 609-704-0185 Fax: 609-704-0195
Mr. Curt John Carino, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S White Horse Pike, Hammonton, NJ 08037 Phone: 888-694-9996
Nkongho Bakia, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Spring Garden Rd, Hammonton, NJ 08037 Phone: 609-561-1700

Kelly Grace, CRNP - Medicare Nurse Practitioner in Hammonton, NJ