Leslie R Kelly, APRN in Northampton, MA - Medicare Nurse Practitioner

Leslie R Kelly, APRN is a medicare enrolled "Nurse Practitioner" in Northampton, Massachusetts. Her current practice location is 30 Locust St, Northampton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 582-2441.

Leslie R Kelly is licensed to practice in Wisconsin (license number 4902-33) 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 1205946266.

Contact Information

	Leslie R Kelly, APRN
	30 Locust St, Northampton, MA 01060-2052
	(413) 582-2441
	Not Available

Map and Direction

Provider's Profile

Full Name	Leslie R Kelly
Gender	Female
Speciality	Nurse Practitioner
Location	30 Locust St, Northampton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205946266
Provider Enumeration Date: 08/30/2006
Last Update Date: 06/21/2016

Medicare PECOS Information:

PECOS PAC ID: 2567495732
Enrollment ID: I20120228000391

Medical Identifiers

Medical identifiers for Leslie R Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205946266	NPI	-	NPPES
KELLYLES	Other	WI	MERCYCARE INSURANCE
1205946266	Medicaid	WI
110102297A	Medicaid	MA
1008712	Medicaid	VT
1205946266	Other	WI	BCBSWI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	101-0021171 (Vermont)	Secondary
363L00000X	Nurse Practitioner	4902-33 (Wisconsin)	Primary
163W00000X	Registered Nurse	191800-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	238190 (Massachusetts)	Secondary

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. Leslie R Kelly allows following entities to bill medicare on her behalf.

Entity Name	Ipc Hospitalists Of New England Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659555266 PECOS PAC ID: 7618051442 Enrollment ID: O20080303000565

Entity Name	American Advanced Practice Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20210503001164

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. Leslie R Kelly 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
Leslie R Kelly, APRN 30 Locust St, Northampton, MA 01060-2052 Ph: (413) 582-2441	Leslie R Kelly, APRN 30 Locust St, Northampton, MA 01060-2052 Ph: (413) 582-2441

Reviews and Comments

Nurse Practitioner Nurses in Northampton, MA

Glenda B Flynn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325b King St, Northampton, MA 01060 Phone: 413-387-4100 Fax: 413-387-4119
Benjamin Samuel Duffy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325b King Street, Northampton, MA 01060 Phone: 413-387-4101 Fax: 413-387-4119
Heather A. Davis, RNC, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Locust St, #1, Northampton, MA 01060 Phone: 413-584-2303 Fax: 413-586-3212
Jessica R Tropp, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 Elm St, Northampton, MA 01060 Phone: 413-585-0039 Fax: 413-585-0755
Ms. Beth Goldberg Shaine, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 193 Locust St, Ste. 2, Northampton, MA 01060 Phone: 413-584-8700 Fax: 413-584-1714
Leah Culler Morrison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325b King St, Northampton, MA 01060 Phone: 413-387-4100 Fax: 413-387-4119

Leslie R Kelly, APRN - Medicare Nurse Practitioner in Northampton, MA