Kelly Teresa Capasso, APN is a medicare enrolled "Family Medicine" in Denville, New Jersey. Her current practice location is
16 Pocono Rd Ste 110, Denville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 586-3700.
Kelly Teresa Capasso is licensed to practice in New Jersey (license number 26NJ00769800) 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 1669980769.
Provider's Profile
| Full Name | Kelly Teresa Capasso |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 16 Pocono Rd Ste 110, Denville, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669980769
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426312513
- Enrollment ID: I20180425000952
Medical Identifiers
Medical identifiers for Kelly Teresa Capasso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669980769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 26NJ00769800 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 26NJ00769800 (New Jersey) | 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 Teresa Capasso allows following entities to bill medicare on her behalf.
| Entity Name | Maron & Rodrigues Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477691780
PECOS PAC ID: 3375596018
Enrollment ID: O20050223000087 |
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| Entity Name | Primary Care Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083900526
PECOS PAC ID: 2860665809
Enrollment ID: O20111108000032 |
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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 Teresa Capasso 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 |
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Kelly Teresa Capasso, APN
Po Box 95000,
Philadelphia, PA 19195-7550
Ph: (844) 362-1735 | Kelly Teresa Capasso, APN
16 Pocono Rd Ste 110,
Denville, NJ 07834-2905
Ph: (973) 586-3700 |
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