Kelly Grommersch Lynch, NP in Alpharetta, GA - Medicare Nurse Practitioner

Kelly Grommersch Lynch, NP is a medicare enrolled "Nurse Practitioner - Family" in Alpharetta, Georgia. Her current practice location is 3400c Old Milton Pkwy Ste 290, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 667-4343.

Kelly Grommersch Lynch is licensed to practice in Georgia (license number RN208756) 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 1295110310.

Contact Information

	Kelly Grommersch Lynch, NP
	3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438
	(770) 667-4343
	(770) 772-0937

Map and Direction

Provider's Profile

Full Name	Kelly Grommersch Lynch
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3400c Old Milton Pkwy Ste 290, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295110310
Provider Enumeration Date: 07/30/2015
Last Update Date: 03/07/2018

Medicare PECOS Information:

PECOS PAC ID: 9234447095
Enrollment ID: I20171017003328

Medical Identifiers

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

Identifier	Type	State	Issuer
1295110310	NPI	-	NPPES
NP3344	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	19544 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	19544 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	RN208756 (Georgia)	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 Grommersch Lynch allows following entities to bill medicare on her behalf.

Entity Name	Northside Urgent Care Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795

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 Grommersch Lynch 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 Grommersch Lynch, NP Northside Hospital - Managed Care Department, 1000 Johnson Ferry Rd Ne Atlanta, Atlanta, GA 30342-3034 Ph: (404) 851-8097	Kelly Grommersch Lynch, NP 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 Ph: (770) 667-4343

Reviews and Comments

Nurse Practitioner Nurses in Alpharetta, GA

Kathleen Marie Sklivagkos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009 Phone: 770-274-9511
Mr. Terrance B Henderson, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005 Phone: 404-800-5181
Amy Labib, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy, Alpharetta, GA 30005 Phone: 678-224-8686
Julia Weirbach, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 960 N Point Pkwy Ste 120, Alpharetta, GA 30005 Phone: 770-800-3353
Regan J Kudlata, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy # C, Ste 190, Alpharetta, GA 30005 Phone: 404-832-0300
Joanna M Huff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Milton Ave, Alpharetta, GA 30009 Phone: 425-449-1571
Gina Leeann Bauknecht, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022 Phone: 770-442-1911

Kelly Grommersch Lynch, NP - Medicare Nurse Practitioner in Alpharetta, GA