Dr Kelly Middleton Lynch, DDS is a medicare enrolled "Dentist" provider in So. Whitley, Indiana. Her current practice location is
202 State St, So. Whitley, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 723-6632.
Dr Kelly Middleton Lynch is licensed to practice in Indiana (license number 8585) 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 1578796405.
Healthcare Provider's Profile
Full Name | Dr Kelly Middleton Lynch |
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Gender | Female |
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Speciality | Dentist |
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Location | 202 State St, So. Whitley, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578796405
- Provider Enumeration Date: 08/26/2009
- Last Update Date: 08/26/2009
Medicare PECOS Information:
- PECOS PAC ID: 5597065409
- Enrollment ID: I20151125001519
Medical Identifiers
Medical identifiers for Dr Kelly Middleton Lynch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578796405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 8585 (Indiana) | 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. Dr Kelly Middleton Lynch 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 |
Dr Kelly Middleton Lynch, DDS 202 State St, South Whitley, IN 46787 Ph: (260) 723-6632 | Dr Kelly Middleton Lynch, DDS 202 State St, So. Whitley, IN 46787 Ph: (260) 723-6632 |
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