Mr Kelly Ernesto Perez, NP in Boston, MA - Medicare Nurse Practitioner

Mr Kelly Ernesto Perez, NP is a medicare enrolled "Nurse Practitioner" in Boston, Massachusetts. His current practice location is 243 Charles St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-2000.

Mr Kelly Ernesto Perez is licensed to practice in Massachusetts (license number RN2388821) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306623269.

Contact Information

	Mr Kelly Ernesto Perez, NP
	243 Charles St, Boston, MA 02114-3096
	(617) 726-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kelly Ernesto Perez
Gender	Male
Speciality	Nurse Practitioner
Location	243 Charles St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306623269
Provider Enumeration Date: 09/13/2023
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3678929379
Enrollment ID: I20231101002603

Medical Identifiers

Medical identifiers for Mr Kelly Ernesto Perez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306623269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2388821 (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. Mr Kelly Ernesto Perez allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	Greater Lawrence Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699774646 PECOS PAC ID: 0446221956 Enrollment ID: O20040805001067

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Mr Kelly Ernesto Perez 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
Mr Kelly Ernesto Perez, NP 10 Stonefield Mews Ln, Pittsford, NY 14534-2889 Ph: (917) 361-6807	Mr Kelly Ernesto Perez, NP 243 Charles St, Boston, MA 02114-3096 Ph: (617) 726-2000

Reviews and Comments

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Mr Kelly Ernesto Perez, NP - Medicare Nurse Practitioner in Boston, MA