Tina Kelly, MSN, FNP-C - Medicare Nurse Practitioner in Union City, TN

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Tina Kelly, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Union City, Tennessee. Her current practice location is Mccoy Medical, 1324 South Home Street, Union City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 885-8881.

Tina Kelly is licensed to practice in Tennessee (license number 34204) 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 1871277285.

Contact Information

Tina Kelly, MSN, FNP-C
Mccoy Medical, 1324 South Home Street,
Union City, TN 38261
(731) 885-8881
Not Available

Map and Direction




Provider's Profile

Full NameTina Kelly
GenderFemale
SpecialityNurse Practitioner - Family
LocationMccoy Medical, Union City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871277285
  • Provider Enumeration Date: 06/14/2023
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961641493
  • Enrollment ID: I20230829000806

Medical Identifiers

Medical identifiers for Tina Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871277285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 34204 (Tennessee)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. Tina Kelly allows following entities to bill medicare on her behalf.
Entity NameHighlands Dermatology And Surgical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093151045
PECOS PAC ID: 0042458150
Enrollment ID: O20130531000385
Entity NamePaducah Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831242551
PECOS PAC ID: 0840274981
Enrollment ID: O20200504001649

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. Tina Kelly 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 AddressPractice Location Address
Tina Kelly, MSN, FNP-C
Mccoy Medical, 1324 South Home Street,
Union City, TN 38261

Ph: (731) 885-8881		Tina Kelly, MSN, FNP-C
Mccoy Medical, 1324 South Home Street,
Union City, TN 38261

Ph: (731) 885-8881

Reviews and Comments


Nurse Practitioner Nurses in Union City, TN

Alicia Nicole Jernigan, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1020 E Reelfoot Ave Ste 201, Union City, TN 38261
Phone: 901-271-1000    
Mrs. Tracey Kizer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Sherrill St, Suite B, Union City, TN 38261
Phone: 731-884-3900    Fax: 731-884-3901
Amy K Harris, N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1109 E Reelfoot Ave Ste F, Union City, TN 38261
Phone: 731-884-1412    Fax: 731-884-1720
Amanda Lee Keown, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1412 E Reelfoot Ave, Union City, TN 38261
Phone: 731-885-5131    
Mrs. Kimberly Kaye Crowell, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1720 E Reelfoot Ave Ste 200, Union City, TN 38261
Phone: 731-507-0272    Fax: 731-507-0273
Jennifer Renee Vancleave,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 702 Sherrill St, Union City, TN 38261
Phone: 731-885-8884    Fax: 731-599-2111
Mrs. Kristina Pollock, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 W Reelfoot Ave, Union City, TN 38261
Phone: 731-599-1102    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.