Kelly Leigh Klein, NP in Groton, CT - Medicare Nurse Practitioner

Kelly Leigh Klein, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Groton, Connecticut. Her current practice location is 1 Wahoo Ave, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 694-1133.

Kelly Leigh Klein is licensed to practice in Wisconsin (license number 12234-33) 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 1861828832.

Contact Information

	Kelly Leigh Klein, NP
	1 Wahoo Ave, Groton, CT 06349-2324
	(860) 694-1133
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Leigh Klein
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1 Wahoo Ave, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861828832
Provider Enumeration Date: 09/22/2013
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8325577331
Enrollment ID: I20250121001472

Medical Identifiers

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

Identifier	Type	State	Issuer
1861828832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	12234-33 (Wisconsin)	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 Leigh Klein allows following entities to bill medicare on her behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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 Leigh Klein 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 Leigh Klein, NP 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-1133	Kelly Leigh Klein, NP 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-1133

Reviews and Comments

Nurse Practitioner Nurses in Groton, CT

Mrs. Cynthia D L'heureux, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303
Matthew David Cooper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123
Joanna L. Breton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Route 12, Groton, CT 06340 Phone: 860-446-6137
Maria Kristine Tompkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 491 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-5107
Dr. John Anthony Hoyos, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 860-694-4123
Kathryn Walck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-0144
Ms. Gail Lee Sanjuan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590

Kelly Leigh Klein, NP - Medicare Nurse Practitioner in Groton, CT