Ms Kelly Ann Weaver, RN, MSF, FNP, ARNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jupitar, Florida. Her current practice location is
4600 Military Trail, Suite 218, Jupitar, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 626-9041.
Ms Kelly Ann Weaver is licensed to practice in New York (license number F330977) 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 1821115015.
Provider's Profile
| Full Name | Ms Kelly Ann Weaver |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4600 Military Trail, Jupitar, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821115015
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981753159
- Enrollment ID: I20170222002879
Medical Identifiers
Medical identifiers for Ms Kelly Ann Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821115015 | NPI | - | NPPES |
| 03314050 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 413453 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F330977 (New York) | 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. Ms Kelly Ann Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Aleksandra Kraeher Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497876973
PECOS PAC ID: 5092810069
Enrollment ID: O20070419000420 |
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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. Ms Kelly Ann Weaver 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 |
|---|
Ms Kelly Ann Weaver, RN, MSF, FNP, ARNP-C
13660 Jog Road Suite 2,
Delray Beach, FL 33446-3806
Ph: (561) 600-2408 | Ms Kelly Ann Weaver, RN, MSF, FNP, ARNP-C
4600 Military Trail, Suite 218,
Jupitar, FL 33458
Ph: (561) 626-9041 |
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