Tabitha Kelly, PA is a medicare enrolled "Physician Assistant - Medical" physician in Abilene, Texas. Her current practice location is
1500 Industrial Blvd Ste 202, Abilene, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 480-2900.
Tabitha Kelly 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 1134630528.
Physician's Profile
Full Name | Tabitha Kelly |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1500 Industrial Blvd Ste 202, Abilene, Texas |
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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: 1134630528
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426314907
- Enrollment ID: I20171116001447
Medical Identifiers
Medical identifiers for Tabitha Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134630528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | PA13912 (Texas) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (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. Tabitha Kelly 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 |
Tabitha Kelly, PA 1500 Industrial Blvd Ste 202, Abilene, TX 79602-8004 Ph: (325) 480-2900 | Tabitha Kelly, PA 1500 Industrial Blvd Ste 202, Abilene, TX 79602-8004 Ph: (325) 480-2900 |
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