Kelly Marie Stovall, NP in Chelsea, MI - Medicare Nurse Practitioner

Kelly Marie Stovall, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Chelsea, Michigan. Her current practice location is 310 N Main St, Suite 301, Chelsea, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 222-8200.

Kelly Marie Stovall is licensed to practice in Michigan (license number 4704235502) 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 1578985875.

Contact Information

	Kelly Marie Stovall, NP
	310 N Main St, Suite 301, Chelsea, MI 48118-1555
	(734) 222-8200
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Marie Stovall
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	310 N Main St, Chelsea, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578985875
Provider Enumeration Date: 01/06/2014
Last Update Date: 02/24/2017

Medicare PECOS Information:

PECOS PAC ID: 9830322676
Enrollment ID: I20140502000379

Medical Identifiers

Medical identifiers for Kelly Marie Stovall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578985875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704235502 (Michigan)	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 Marie Stovall allows following entities to bill medicare on her behalf.

Entity Name	Residential Professional Wound Care Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144971482 PECOS PAC ID: 8224421227 Enrollment ID: O20220216000964

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 Marie Stovall 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 Marie Stovall, NP 7025 Norborne Ave, Dearborn Heights, MI 48127-2013 Ph: (313) 204-6889	Kelly Marie Stovall, NP 310 N Main St, Suite 301, Chelsea, MI 48118-1555 Ph: (734) 222-8200

Reviews and Comments

Nurse Practitioner Nurses in Chelsea, MI

Frances M Beckley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-3979 Fax: 734-475-3986
Ms. Marissa Renee Sevenish, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120
Kaitlin Marie Perdew, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14650 E Old Us Hwy 12, Chelsea, MI 48118 Phone: 517-414-6935
Danielle Brooke Berthold, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14650 E Old Us Highway 12, Suite 303, Chelsea, MI 48118 Phone: 734-475-4177 Fax: 734-475-4177
Mrs. Naela Berry Jenkins, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13699 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-475-4500
Ellyce Lineton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Waterloo Rd, Chelsea, MI 48118 Phone: 734-433-0319
Mrs. Mollie Helen Mcguire, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-593-6000

Kelly Marie Stovall, NP - Medicare Nurse Practitioner in Chelsea, MI