Kelly C Mccoy, is a
Community Health Worker based in San Mateo, California. Kelly C Mccoy is licensed to practice in * (Not Available) (license number ) and her current practice location is
2000 Alameda De Las Pulgas Ste 200, San Mateo, California. She can be reached at her office (for appointments etc.) via phone at
(650) 573-2618.
NPI number for Kelly C Mccoy is 1104965060 and her current mailing address is 1132 Godetia Dr Apt 1, Woodside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104965060.
Healthcare Provider's Profile
Full Name | Kelly C Mccoy |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 2000 Alameda De Las Pulgas Ste 200, San Mateo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104965060
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Kelly C Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104965060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Kelly C Mccoy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly C Mccoy, 1132 Godetia Dr Apt 1, Woodside, CA 94062-4117 Ph: (650) 743-0116 | Kelly C Mccoy, 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403-1293 Ph: (650) 573-2618 |
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