Kelley Hillman, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Oklahoma City, Oklahoma. Her current practice location is
1200 North Everett Drive, Etnp7504, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 271-5215.
Kelley Hillman is licensed to practice in * (Not Available) (license number ) 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 1750910758.
Physician's Profile
Full Name | Kelley Hillman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1200 North Everett Drive, Oklahoma City, Oklahoma |
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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: 1750910758
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284081233
- Enrollment ID: I20231113001582
Medical Identifiers
Medical identifiers for Kelley Hillman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750910758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | R5576 (Kentucky) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Kelley Hillman 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 |
Kelley Hillman, 1200 North Everett Drive, Etnp7504, Oklahoma City, OK 73104 Ph: (405) 271-5215 | Kelley Hillman, 1200 North Everett Drive, Etnp7504, Oklahoma City, OK 73104 Ph: (405) 271-5215 |
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