Mrs Kelly Parker, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Land O Lakes, Florida. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Medical Clinic Llc and her current practice location is
2100 Via Bella Blvd Ste 102, Land O Lakes, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 712-5718.
Mrs Kelly Parker is licensed to practice in Florida (license number PA9117316) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811459399.
Physician's Profile
| Full Name | Mrs Kelly Parker |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 2100 Via Bella Blvd Ste 102, Land O Lakes, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kelly Parker graduated from medical school in 2020
NPI Data:
- NPI Number: 1811459399
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597178426
- Enrollment ID: I20230828002971
Medical Identifiers
Medical identifiers for Mrs Kelly Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811459399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 025795 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 025795 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9117316 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Florida Medical Clinic Llc | 9931003068 | 364 |
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 Kelly Parker 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 |
|---|
Mrs Kelly Parker, PA-C
38135 Market Square Dr,
Zephyrhills, FL 33542-7505
Ph: (352) 567-0188 | Mrs Kelly Parker, PA-C
2100 Via Bella Blvd Ste 102,
Land O Lakes, FL 34639-5429
Ph: (813) 712-5718 |
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