Krystine Kelley, CNP is a medicare enrolled "Nurse Practitioner - Family" in Hanson, Massachusetts. Her current practice location is
430 Liberty St, Hanson, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 293-3838.
Krystine Kelley is licensed to practice in Massachusetts (license number RN2275484) 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 1245774728.
Provider's Profile
| Full Name | Krystine Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 430 Liberty St, Hanson, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245774728
- Provider Enumeration Date: 12/18/2016
- Last Update Date: 04/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355624172
- Enrollment ID: I20170201001799
Medical Identifiers
Medical identifiers for Krystine Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245774728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | RN2275484 (Massachusetts) | 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. Krystine Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Massachusetts General Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
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| Entity Name | Atrius Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
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| Entity Name | The General Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
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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. Krystine Kelley 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 |
Krystine Kelley, CNP 430 Liberty St, Ste 7, Hanson, MA 02341-1113 Ph: (781) 974-5902 | Krystine Kelley, CNP 430 Liberty St, Hanson, MA 02341-1113 Ph: (781) 293-3838 |
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