Kelsey Dillenburg, PNP in Lubbock, TX - Medicare Nurse Practitioner

Kelsey Dillenburg, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lubbock, Texas. Her current practice location is 5202 82nd St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 725-7337.

Kelsey Dillenburg is licensed to practice in Texas (license number AP132631) 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 1588118939.

Contact Information

	Kelsey Dillenburg, PNP
	5202 82nd St, Lubbock, TX 79424-2823
	(806) 725-7337
	(806) 723-7002

Map and Direction

Provider's Profile

Full Name	Kelsey Dillenburg
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	5202 82nd St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588118939
Provider Enumeration Date: 08/14/2016
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3072894633
Enrollment ID: I20161220001196

Medical Identifiers

Medical identifiers for Kelsey Dillenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588118939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	806561 (Texas)	Secondary
208M00000X	Hospitalist	AP132631 (Texas)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP132631 (Texas)	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. Kelsey Dillenburg allows following entities to bill medicare on her behalf.

Entity Name	Covenant Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563

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. Kelsey Dillenburg 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
Kelsey Dillenburg, PNP 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844	Kelsey Dillenburg, PNP 5202 82nd St, Lubbock, TX 79424-2823 Ph: (806) 725-7337

Reviews and Comments

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Kelsey Dillenburg, PNP - Medicare Nurse Practitioner in Lubbock, TX