Carly Kelleher, PA-C - Medicare Physician Assistant in Crest Hill, IL

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Carly Kelleher, PA-C is a medicare enrolled "Physician Assistant" in Crest Hill, Illinois. Her current practice location is 2051 Plainfield Rd, Crest Hill, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 741-4343.

Carly Kelleher 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 1376297564.

Contact Information

Carly Kelleher, PA-C
2051 Plainfield Rd,
Crest Hill, IL 60403-1865
(815) 741-4343
(815) 741-8660

Map and Direction




Provider's Profile

Full NameCarly Kelleher
GenderFemale
SpecialityPhysician Assistant
Location2051 Plainfield Rd, Crest Hill, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376297564
  • Provider Enumeration Date: 02/07/2022
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163885575
  • Enrollment ID: I20230901001603

Medical Identifiers

Medical identifiers for Carly Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376297564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Carly Kelleher 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 AddressPractice Location Address
Carly Kelleher, PA-C
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008		Carly Kelleher, PA-C
2051 Plainfield Rd,
Crest Hill, IL 60403-1865

Ph: (815) 741-4343

Reviews and Comments


Physician Assistant Nurses in Crest Hill, IL

Madeline Rose Abrams, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2051 Plainfield Rd, Crest Hill, IL 60403
Phone: 815-741-4343    Fax: 815-741-8660
Megan T Connolly, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2051 Plainfield Rd, Crest Hill, IL 60403
Phone: 815-741-4343    Fax: 815-741-8660
Ms. Adriana Flores, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2228 Weber Rd, Crest Hill, IL 60403
Phone: 815-729-9900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.