Ralph Kelley, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Portageville, Missouri. His current practice location is
314 E Main St, Portageville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 379-3777.
Ralph Kelley is licensed to practice in Missouri (license number 31361) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669589677.
Physician's Profile
Full Name | Ralph Kelley |
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Gender | Male |
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Speciality | Family Medicine - Adult Medicine |
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Location | 314 E Main St, Portageville, Missouri |
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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: 1669589677
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 12/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032204144
- Enrollment ID: I20071004000531
Medical Identifiers
Medical identifiers for Ralph Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669589677 | NPI | - | NPPES |
241143213 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 31361 (Missouri) | 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. Ralph Kelley 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 |
Ralph Kelley, DO 314 E Main St, Portageville, MO 63873-1616 Ph: (573) 379-3777 | Ralph Kelley, DO 314 E Main St, Portageville, MO 63873-1616 Ph: (573) 379-3777 |
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