Kelly Lynn Dillard, NP - Medicare Nurse Practitioner in Washington, MO

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Kelly Lynn Dillard, NP is a medicare enrolled "Nurse Practitioner - Family" in Washington, Missouri. Her current practice location is 555 Washington Square Shopping Ctr, Washington, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 390-1777.

Kelly Lynn Dillard is licensed to practice in Missouri (license number 2016038175) 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 1730631029.

Contact Information

Kelly Lynn Dillard, NP
555 Washington Square Shopping Ctr,
Washington, MO 63090-5343
(636) 390-1777
(636) 390-1778

Map and Direction




Provider's Profile

Full NameKelly Lynn Dillard
GenderFemale
SpecialityNurse Practitioner - Family
Location555 Washington Square Shopping Ctr, Washington, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730631029
  • Provider Enumeration Date: 11/02/2016
  • Last Update Date: 05/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739461492
  • Enrollment ID: I20170113000453

Medical Identifiers

Medical identifiers for Kelly Lynn Dillard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730631029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016038175 (Missouri)Primary
363L00000XNurse Practitioner 2016038175 (Missouri)Secondary

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 Dillard allows following entities to bill medicare on her behalf.
Entity NameMercy Hospital South
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568481984
PECOS PAC ID: 8426962556
Enrollment ID: O20031113000592
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325
Entity NameMercy East Ambulatory Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134673148
PECOS PAC ID: 2365739240
Enrollment ID: O20160920002054

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 Dillard 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 AddressPractice Location Address
Kelly Lynn Dillard, NP
555 Washington Square Shopping Ctr,
Washington, MO 63090-5343

Ph: (636) 390-1777		Kelly Lynn Dillard, NP
555 Washington Square Shopping Ctr,
Washington, MO 63090-5343

Ph: (636) 390-1777

Reviews and Comments


Nurse Practitioner Nurses in Washington, MO

Mrs. Luz Elena Alfonsi, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 205 Elm St, Suite 202, Washington, MO 63090
Phone: 636-390-4071    Fax: 636-390-8908
Amy Lee Swoboda, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Dr, Washington, MO 63090
Phone: 636-239-4100    
Mrs. Ann Marie Hoch, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 851 E 5th St Ste 312, Washington, MO 63090
Phone: 636-390-9100    
Victoria L Yenzer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Dr, Washington, MO 63090
Phone: 636-239-7500    
Mrs. Sarah Elizabeth Bloch, RN, MSN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 Patients First Dr, Washington, MO 63090
Phone: 636-390-1400    
Mrs. Lisa Anne Dickinson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 851 E 5th St, Washington, MO 63090
Phone: 636-239-1101    
Corinne Ann Coppinger, RNC, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 851 E 5th St, Suite 200, Washington, MO 63090
Phone: 636-239-8585    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.