Christopher Patrick Kelly, PAC is a medicare enrolled "Physician Assistant" in Gilbert, West Virginia. His current practice location is
202 Larry Joe Harless Dr., Gilbert, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 664-6270.
Christopher Patrick Kelly is licensed to practice in West Virginia (license number 2800) 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 1407137110.
Provider's Profile
Full Name | Christopher Patrick Kelly |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 202 Larry Joe Harless Dr., Gilbert, West Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407137110
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 9537331830
- Enrollment ID: I20111011000000
Medical Identifiers
Medical identifiers for Christopher Patrick Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407137110 | NPI | - | NPPES |
3810025900 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2800 (West Virginia) | Primary |
363A00000X | Physician Assistant | 01578 (West Virginia) | Secondary |
363A00000X | Physician Assistant | 601 (West Virginia) | Secondary |
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. Christopher Patrick 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 |
Christopher Patrick Kelly, PAC 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Christopher Patrick Kelly, PAC 202 Larry Joe Harless Dr., Gilbert, WV 25621-1842 Ph: (304) 664-6270 |
Reviews and Comments