Kelsi Marie Hendrickson, in Corbin, KY - Medicare Nurse Practitioner

Kelsi Marie Hendrickson, is a medicare enrolled "Nurse Practitioner" in Corbin, Kentucky. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 1 Trillium Way, Corbin, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 528-1212.

Kelsi Marie Hendrickson is licensed to practice in Kentucky (license number 4015202) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043088792.

Contact Information

	Kelsi Marie Hendrickson,
	1 Trillium Way, Corbin, KY 40701-8426
	(606) 528-1212
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsi Marie Hendrickson
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	1 Trillium Way, Corbin, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsi Marie Hendrickson graduated from nursing school in 2023

NPI Data:

NPI Number: 1043088792
Provider Enumeration Date: 12/12/2023
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0941745962
Enrollment ID: I20240715002825

Medical Identifiers

Medical identifiers for Kelsi Marie Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043088792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1162589 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	4015202 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	627

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. Kelsi Marie Hendrickson allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

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. Kelsi Marie Hendrickson 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
Kelsi Marie Hendrickson, 1 Trillium Way, Corbin, KY 40701-8426 Ph: () -	Kelsi Marie Hendrickson, 1 Trillium Way, Corbin, KY 40701-8426 Ph: (606) 528-1212

Reviews and Comments

Nurse Practitioner Nurses in Corbin, KY

Julie A Poore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14949 N Us Highway 25 E, Suite 6, Corbin, KY 40701 Phone: 606-528-2160 Fax: 606-528-2162
Bertha M Blevins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 Clear View Dr, Corbin, KY 40701 Phone: 606-261-1428
Macy Victoria Chambers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 106, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072
Richi Michele Gray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Bryan Blvd, Corbin, KY 40701 Phone: 606-523-2005
Neil Patil, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212
Carman Beth Howard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Cumberland Falls Hwy Ste D141, Corbin, KY 40701 Phone: 606-528-5527 Fax: 606-526-9687
Ms. Lola A Meadors, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 Maynor St, Corbin, KY 40701 Phone: 606-261-2032 Fax: 800-880-2213

Kelsi Marie Hendrickson, - Medicare Nurse Practitioner in Corbin, KY