Mackenzie Brae Kelly, FNP - Medicare Nurse Practitioner in Ashland, KY

Mackenzie Brae Kelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ashland, Kentucky. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kings Daughters Medical Specialties Inc and her current practice location is 613 23rd St Ste G10, Ashland, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 408-5864.

Mackenzie Brae Kelly is licensed to practice in Kentucky (license number 3017986) 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 1699407957.

Contact Information

Mackenzie Brae Kelly, FNP
613 23rd St Ste G10,
Ashland, KY 41101-2886
(606) 408-5864
Not Available



Provider's Profile

Full NameMackenzie Brae Kelly
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location613 23rd St Ste G10, Ashland, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mackenzie Brae Kelly graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1699407957
  • Provider Enumeration Date: 06/27/2022
  • Last Update Date: 02/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860874914
  • Enrollment ID: I20220805000971

Medical Identifiers

Medical identifiers for Mackenzie Brae Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699407957NPI-NPPES
7100835320MedicaidKY
0498594MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3017986 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters' Medical CenterAshland, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kings Daughters Medical Specialties Inc6103968029328

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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. Mackenzie Brae Kelly allows following entities to bill medicare on her behalf.
Entity NameKings Daughters Medical Specialties Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710215736
PECOS PAC ID: 6103968029
Enrollment ID: O20100217000538

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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. Mackenzie Brae 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
Mackenzie Brae Kelly, FNP
Po Box 2379,
Ashland, KY 41105-2379

Ph: () -
Mackenzie Brae Kelly, FNP
613 23rd St Ste G10,
Ashland, KY 41101-2886

Ph: (606) 408-5864

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Nurse Practitioner Nurses in Ashland, KY

Lisa Ellen Spencer, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 613 23rd St Ste 230, Ashland, KY 41101
Phone: 606-324-4745    Fax: 606-324-4941
Tomie Thompson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101
Phone: 606-833-4043    
Susan Aliff, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 613 23rd St Ste 520, Ashland, KY 41101
Phone: 606-393-0190    
Tracy Ricewick, AGNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 613 23rd St Ste 130, Ashland, KY 41101
Phone: 606-329-9335    
Rita Nicole Fletcher, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 399 Diederich Blvd, Ashland, KY 41101
Phone: 606-324-8060    Fax: 606-325-6889
Darren Barker, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 613 23rd St Ste 440, Ashland, KY 41101
Phone: 606-329-2888    
Martina Renate Myers, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    Fax: 606-408-6825

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