Charrika Renee Kelly, PA-C is a medicare enrolled "Physician Assistant" in Burtonsville, Maryland. She graduated from nursing 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 Privia Medical Group Llc and her current practice location is
15646 Old Columbia Pike, Burtonsville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 421-1214.
Charrika Renee Kelly is licensed to practice in Maryland (license number C0007817) 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 1114517935.
Provider's Profile
Full Name | Charrika Renee Kelly |
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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 | 15646 Old Columbia Pike, Burtonsville, Maryland |
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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. |
Medical Education and Training:
- Charrika Renee Kelly graduated from nursing school in 2020
NPI Data:
- NPI Number: 1114517935
- Provider Enumeration Date: 01/25/2021
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577972249
- Enrollment ID: I20210510001488
Medical Identifiers
Medical identifiers for Charrika Renee Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114517935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C0007817 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Privia Medical Group Llc | 4385682061 | 1223 |
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. Charrika Renee 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 |
Charrika Renee Kelly, PA-C 1121 Frederick Douglas St, Annapolis, MD 21403-2149 Ph: (443) 454-3173 | Charrika Renee Kelly, PA-C 15646 Old Columbia Pike, Burtonsville, MD 20866-1630 Ph: (301) 421-1214 |
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