Mariah Kellam, RN is a medicare enrolled "Nurse Practitioner - Family" in Chinook, Montana. Her current practice location is
419 Pennsylvania St, Chinook, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 357-2294.
Mariah Kellam is licensed to practice in Montana (license number NUR-APRN-LIC-216413) 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 1083230304.
Provider's Profile
| Full Name | Mariah Kellam |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 419 Pennsylvania St, Chinook, Montana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1083230304
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 02/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012371180
- Enrollment ID: I20230908001267
Medical Identifiers
Medical identifiers for Mariah Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083230304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-216413 (Montana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mariah Kellam allows following entities to bill medicare on her behalf.
| Entity Name | Bighorn Valley Health Center Incorporated |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1255617130
PECOS PAC ID: 8820246077
Enrollment ID: O20120913000593 |
|---|
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. Mariah Kellam 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 |
|---|
Mariah Kellam, RN
419 Pennsylvania St,
Chinook, MT 59523-9726
Ph: (406) 262-3361 | Mariah Kellam, RN
419 Pennsylvania St,
Chinook, MT 59523-9726
Ph: (406) 357-2294 |
Reviews and Comments