Mrs Kelly Maines Squires, CPNP in Raleigh, NC

Mrs Kelly Maines Squires, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Raleigh, North Carolina. Her current practice location is 23 Sunnybrook Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 235-6435.

Mrs Kelly Maines Squires is licensed to practice in North Carolina (license number 5010058) 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 1497268320.

Contact Information

	Mrs Kelly Maines Squires, CPNP
	23 Sunnybrook Rd, Raleigh, NC 27610-1855
	(919) 235-6435
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Maines Squires
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	23 Sunnybrook Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497268320
Provider Enumeration Date: 11/14/2017
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4880954510
Enrollment ID: I20180129000598

Medical Identifiers

Medical identifiers for Mrs Kelly Maines Squires such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497268320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	246271 (North Carolina)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	5010058 (North Carolina)	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. Mrs Kelly Maines Squires allows following entities to bill medicare on her behalf.

Entity Name	Wakemed Specialists Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815

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. Mrs Kelly Maines Squires 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
Mrs Kelly Maines Squires, CPNP 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: () -	Mrs Kelly Maines Squires, CPNP 23 Sunnybrook Rd, Raleigh, NC 27610-1855 Ph: (919) 235-6435

Reviews and Comments

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Mrs Kelly Maines Squires, CPNP - Medicare Nurse Practitioner in Raleigh, NC