Kelly O'mara, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Manlius, New York. Her current practice location is
240 W Seneca St Ste 12, Manlius, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 682-0325.
Kelly O'mara is licensed to practice in New York (license number 053100) 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 1679304315.
Physician's Profile
| Full Name | Kelly O'mara |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 240 W Seneca St Ste 12, Manlius, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679304315
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800336769
- Enrollment ID: I20240906002480
Medical Identifiers
Medical identifiers for Kelly O'mara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679304315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 053100 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly O'mara allows following entities to bill medicare on her behalf.
| Entity Name | Sports Physical Therapy Of New York, P.c. |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1912950072
PECOS PAC ID: 4284531674
Enrollment ID: O20150203001143 |
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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 O'mara 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 |
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Kelly O'mara,
144 Harding St,
Syracuse, NY 13208-2405
Ph: (315) 440-4432 | Kelly O'mara,
240 W Seneca St Ste 12,
Manlius, NY 13104-2422
Ph: (315) 682-0325 |
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