Kelly Ailien Le, in Jacksonville, FL - Medicare General Practice

Kelly Ailien Le, is a medicare enrolled "General Practice" physician in Jacksonville, Florida. Her current practice location is 2080 Child St Dept 5000, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (858) 610-6072.

Kelly Ailien Le is licensed to practice in California (license number 20A20479) 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 1619554169.

Contact Information

	Kelly Ailien Le,
	2080 Child St Dept 5000, Jacksonville, FL 32214-5000
	(858) 610-6072
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Ailien Le
Gender	Female
Speciality	General Practice
Location	2080 Child St Dept 5000, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619554169
Provider Enumeration Date: 03/29/2021
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6800245564
Enrollment ID: I20231207001344

Medical Identifiers

Medical identifiers for Kelly Ailien Le such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619554169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	20A20479 (California)	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 Ailien Le 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
Kelly Ailien Le, 2080 Child St Dept 5000, Jacksonville, FL 32214-5000 Ph: (858) 610-6072	Kelly Ailien Le, 2080 Child St Dept 5000, Jacksonville, FL 32214-5000 Ph: (858) 610-6072

Reviews and Comments

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Kelly Ailien Le, - Medicare General Practice in Jacksonville, FL