Kelly Wilmarth, C-FNP - Medicare Nurse Practitioner in Johnson City, NY

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Kelly Wilmarth, C-FNP is a medicare enrolled "Nurse Practitioner" in Johnson City, New York. Her current practice location is 401 Main St Ste 1, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 754-9870.

Kelly Wilmarth is licensed to practice in New York (license number 338979) 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 1588072474.

Contact Information

Kelly Wilmarth, C-FNP
401 Main St Ste 1,
Johnson City, NY 13790-2065
(607) 754-9870
(607) 785-9862

Map and Direction




Provider's Profile

Full NameKelly Wilmarth
GenderFemale
SpecialityNurse Practitioner
Location401 Main St Ste 1, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588072474
  • Provider Enumeration Date: 07/24/2014
  • Last Update Date: 09/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123339777
  • Enrollment ID: I20150623002014

Medical Identifiers

Medical identifiers for Kelly Wilmarth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588072474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 338979 (New York)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 Wilmarth allows following entities to bill medicare on her behalf.
Entity NameOur Lady of Lourdes Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366
Entity NameWomens Obgyn PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083079198
PECOS PAC ID: 3274831136
Enrollment ID: O20160411001492

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 Wilmarth 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 AddressPractice Location Address
Kelly Wilmarth, C-FNP
401 Main St Ste 1,
Johnson City, NY 13790-2065

Ph: (607) 754-9870		Kelly Wilmarth, C-FNP
401 Main St Ste 1,
Johnson City, NY 13790-2065

Ph: (607) 754-9870

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, NY

Jennifer Anne Shattuck, N.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 260 Riverside Dr, Johnson City, NY 13790
Phone: 607-798-7811    
Ashley N Hammond, MS, FNP
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Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Rachel Marie Skovira, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    Fax: 607-763-6782
Elizabeth Lauren Cudo,
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Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    
Victoria Elizabeth Mcmanus, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 365 Harry L Dr Ste 110, Johnson City, NY 13790
Phone: 607-729-5805    Fax: 607-729-7714
Kaylyn Malenda, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Alissa Giammarino, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 46 Harrison St, Johnson City, NY 13790
Phone: 607-729-4942    Fax: 607-729-7516

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.