Mrs Kay Pontius Kelly, MD is a
Technician - Attendant Care Provider physician based in Wheaton, Illinois. Mrs Kay Pontius Kelly is licensed to practice in * (Not Available) (license number ) and her current practice location is 25451 Menomini Ct, Wheaton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 254-5352.
NPI number for Mrs Kay Pontius Kelly is 1427079961 and her current mailing address is 25451 Menomini Ct, Wheaton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427079961.
Physician's Profile
| Full Name | Mrs Kay Pontius Kelly |
|---|
| Gender | Female |
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| Speciality | Technician - Attendant Care Provider |
|---|
| Location | 25451 Menomini Ct, Wheaton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427079961
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Mrs Kay Pontius Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427079961 | NPI | - | NPPES |
| 036-056877 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 036-056877 (Illinois) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (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. Mrs Kay Pontius Kelly 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 |
|---|
Mrs Kay Pontius Kelly, MD
25451 Menomini Ct,
Wheaton, IL 60189
Ph: (630) 254-5352 | Mrs Kay Pontius Kelly, MD
25451 Menomini Ct,
Wheaton, IL 60189
Ph: (630) 254-5352 |
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