Kelly Mae Losiniecki, NP in South Bend, IN - Medicare Nurse Practitioner

Kelly Mae Losiniecki, NP is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The South Bend Clinic Llc and her current practice location is 211 N Eddy St., South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 237-9231.

Kelly Mae Losiniecki is licensed to practice in Indiana (license number 28176558A) 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 1013288448.

Contact Information

	Kelly Mae Losiniecki, NP
	211 N Eddy St., South Bend, IN 46617-3096
	(574) 237-9231
	(574) 204-6355

Map and Direction

Provider's Profile

Full Name	Kelly Mae Losiniecki
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	211 N Eddy St., South Bend, Indiana
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 Mae Losiniecki graduated from nursing school in 2011

NPI Data:

NPI Number: 1013288448
Provider Enumeration Date: 01/17/2012
Last Update Date: 03/07/2018

Medicare PECOS Information:

PECOS PAC ID: 3476714759
Enrollment ID: I20120412000637

Medical Identifiers

Medical identifiers for Kelly Mae Losiniecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013288448	NPI	-	NPPES
000000758607	Other	IN	BCBS BMG NORTH CENTRAL NEUROSURGERY
P01203728	Other	IN	RR MEDICARE
201058080	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71003885A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	28176558A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	174

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 Mae Losiniecki allows following entities to bill medicare on her behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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 Mae Losiniecki 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 Mae Losiniecki, NP 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231	Kelly Mae Losiniecki, NP 211 N Eddy St., South Bend, IN 46617-3096 Ph: (574) 237-9231

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706
Traci Renee Pulliam, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Michigan St Fl 4, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895

Kelly Mae Losiniecki, NP - Medicare Nurse Practitioner in South Bend, IN