Kelly M Mccockran, APRN, CNP is a medicare enrolled "Hospitalist" in Dayton, Ohio. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Dayton Acute Care Consultants, Inc and her current practice location is
33 W Rahn Rd, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 433-8990.
Kelly M Mccockran is licensed to practice in Ohio (license number APRN.CNP.024227) 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 1427513795.
Provider's Profile
Full Name | Kelly M Mccockran |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 33 W Rahn Rd, Dayton, Ohio |
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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. |
Medical Education and Training:
- Kelly M Mccockran graduated from nursing school in 2018
NPI Data:
- NPI Number: 1427513795
- Provider Enumeration Date: 01/31/2019
- Last Update Date: 01/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254668254
- Enrollment ID: I20190814001955
Medical Identifiers
Medical identifiers for Kelly M Mccockran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427513795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN.335087 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | APRN.CNP.024227 (Ohio) | Secondary |
208M00000X | Hospitalist | APRN.CNP.024227 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
South Dayton Acute Care Consultants, Inc | 3577452465 | 107 |
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 M Mccockran allows following entities to bill medicare on her behalf.
Entity Name | South Dayton Acute Care Consultants, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669442950 PECOS PAC ID: 3577452465 Enrollment ID: O20040310001218 |
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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 M Mccockran 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 M Mccockran, APRN, CNP 33 W Rahn Rd, Dayton, OH 45429-2219 Ph: (937) 433-8990 | Kelly M Mccockran, APRN, CNP 33 W Rahn Rd, Dayton, OH 45429-2219 Ph: (937) 433-8990 |
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