Mrs Nicole Lynn Kelly, MSPT in Media, PA - Medicare Physical Therapist Provider

Mrs Nicole Lynn Kelly, MSPT is a medicare enrolled "Physical Therapist" provider in Media, Pennsylvania. Her current practice location is 411 N Middletown Rd, Media, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 443-0090.

Mrs Nicole Lynn Kelly is licensed to practice in Pennsylvania (license number PT011244L) 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 1437790003.

Contact Information

	Mrs Nicole Lynn Kelly, MSPT
	411 N Middletown Rd, Media, PA 19063-4059
	(484) 443-0090
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Lynn Kelly
Gender	Female
Speciality	Physical Therapist
Location	411 N Middletown Rd, Media, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437790003
Provider Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 2567991763
Enrollment ID: I20250131002137

Medical Identifiers

Medical identifiers for Mrs Nicole Lynn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437790003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT011244L (Pennsylvania)	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 Nicole Lynn Kelly allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962129908 PECOS PAC ID: 2769723162 Enrollment ID: O20221206001386

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 Nicole Lynn 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 Address	Practice Location Address
Mrs Nicole Lynn Kelly, MSPT 3 Stoneridge Ln, Media, PA 19063-5327 Ph: (610) 306-6889	Mrs Nicole Lynn Kelly, MSPT 411 N Middletown Rd, Media, PA 19063-4059 Ph: (484) 443-0090

Reviews and Comments

Physical Therapist in Media, PA

Miss Stephanie Fritsch, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Joshua Christopher Proctor, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Media, PA 19063 Phone: 484-444-0135
Amrita Singh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St Fl 2, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Mr. Christopher L Wilds, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Lobby Level, Media, PA 19063 Phone: 610-891-3030 Fax: 610-891-3035
Ms. Patricia Heaney Magnanini, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martins Run, Media, PA 19063 Phone: 610-353-7660 Fax: 610-353-9160
Main Line Hand Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Neha Buddemeier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1118 W Baltimore Pike, Suite 302, Media, PA 19063 Phone: 610-480-6040

Mrs Nicole Lynn Kelly, MSPT - Medicare Physical Therapist in Media, PA