Ms Kelly Catherine Defeo, CRNA, APRN, PHD is a medicare enrolled "Nurse Practitioner - Family" in Glen, New Hampshire. She graduated from nursing school in 1992 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cranmore Health Partners, Llc and her current practice location is
15 Us Rte 302, Glen, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 730-5356.
Ms Kelly Catherine Defeo is licensed to practice in New Hampshire (license number 04717023) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699757906.
Provider's Profile
| Full Name | Ms Kelly Catherine Defeo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 33 Years |
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| Location | 15 Us Rte 302, Glen, New Hampshire |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kelly Catherine Defeo graduated from nursing school in 1992
NPI Data:
- NPI Number: 1699757906
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284548439
- Enrollment ID: I20140417001454
Medical Identifiers
Medical identifiers for Ms Kelly Catherine Defeo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699757906 | NPI | - | NPPES |
| 30342118 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 047170-23-11 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 04717023 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cranmore Health Partners, Llc | 3971933029 | 2 |
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 Catherine Defeo allows following entities to bill medicare on her behalf.
| Entity Name | Cranmore Health Partners, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194364083
PECOS PAC ID: 3971933029
Enrollment ID: O20200414001261 |
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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 Catherine Defeo 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 Catherine Defeo, CRNA, APRN, PHD
Po Box 125,
Center Conway, NH 03813-0125
Ph: (603) 730-5356 | Ms Kelly Catherine Defeo, CRNA, APRN, PHD
15 Us Rte 302,
Glen, NH 03838-6300
Ph: (603) 730-5356 |
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