Kelly Marie Ware, NP in Petaluma, CA - Medicare Nurse Practitioner

Kelly Marie Ware, NP is a medicare enrolled "Nurse Practitioner" in Petaluma, California. Her current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7500.

Kelly Marie Ware is licensed to practice in California (license number 95011357) 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 1801356605.

Contact Information

	Kelly Marie Ware, NP
	1179 N Mcdowell Blvd, Petaluma, CA 94954-6559
	(707) 559-7500
	(707) 559-7620

Map and Direction

Provider's Profile

Full Name	Kelly Marie Ware
Gender	Female
Speciality	Nurse Practitioner
Location	1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801356605
Provider Enumeration Date: 03/20/2019
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6901149699
Enrollment ID: I20190521001561

Medical Identifiers

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

Identifier	Type	State	Issuer
1801356605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95011357 (California)	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 Ware allows following entities to bill medicare on her behalf.

Entity Name	Petaluma Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415

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 Ware 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 Ware, NP 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500	Kelly Marie Ware, NP 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500

Reviews and Comments

Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802
Dahae Hwang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620

Kelly Marie Ware, NP - Medicare Nurse Practitioner in Petaluma, CA