Brian Richard Kelly, PA-C in Tampa, FL - Medicare Physician Assistant

Brian Richard Kelly, PA-C is a medicare enrolled "Physician Assistant" in Tampa, Florida. His current practice location is 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 870-4000.

Brian Richard Kelly is licensed to practice in Florida (license number 9117340) 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 1356031942.

Contact Information

	Brian Richard Kelly, PA-C
	3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307
	(813) 870-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Brian Richard Kelly
Gender	Male
Speciality	Physician Assistant
Location	3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356031942
Provider Enumeration Date: 05/09/2023
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2062870017
Enrollment ID: I20230622003166

Medical Identifiers

Medical identifiers for Brian Richard Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356031942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	9117340 (Florida)	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. Brian Richard 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
Brian Richard Kelly, PA-C 2502 W Saint Isabel St, Tampa, FL 33607-6318 Ph: (813) 874-5707	Brian Richard Kelly, PA-C 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 Ph: (813) 870-4000

Reviews and Comments

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Brian Richard Kelly, PA-C - Medicare Physician Assistant in Tampa, FL