Kelly Lynn Chesser, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mcloud, Oklahoma. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Medical Center Clinic, Inc. and her current practice location is
704 S 8th St, Mcloud, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 964-6463.
Kelly Lynn Chesser is licensed to practice in Oklahoma (license number 75184) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003346123.
Provider's Profile
| Full Name | Kelly Lynn Chesser |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 704 S 8th St, Mcloud, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Lynn Chesser graduated from nursing school in 2017
NPI Data:
- NPI Number: 1003346123
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 06/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 2769754704
- Enrollment ID: I20170825000457
Medical Identifiers
Medical identifiers for Kelly Lynn Chesser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003346123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 75184 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shawnee Medical Center Clinic, Inc. | 3870405434 | 80 |
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 Lynn Chesser allows following entities to bill medicare on her behalf.
| Entity Name | Shawnee Medical Center Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881648285
PECOS PAC ID: 3870405434
Enrollment ID: O20031103000239 |
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| Entity Name | Ssm Health Care Of Oklahoma, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033283932
PECOS PAC ID: 6709771207
Enrollment ID: O20040216000184 |
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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 Lynn Chesser 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 Lynn Chesser, APRN
Po Box 258884,
Oklahoma City, OK 73125-8884
Ph: (405) 231-3857 | Kelly Lynn Chesser, APRN
704 S 8th St,
Mcloud, OK 74851-8633
Ph: (405) 964-6463 |
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