Jacqueline Mary Kelly, PNP - Nurse Practitioner in Danville, WV

Jacqueline Mary Kelly, PNP is a Nurse Practitioner - Pediatrics based in Danville, West Virginia. Jacqueline Mary Kelly is licensed to practice in New York (license number 381614) and her current practice location is 300 4th St, Danville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 369-1230.

NPI number for Jacqueline Mary Kelly is 1811651052 and her current mailing address is 271 Fellows Ave, Syracuse, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811651052.

Contact Information

Jacqueline Mary Kelly, PNP
300 4th St,
Danville, WV 25053-4632
(304) 369-1230
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Mary Kelly
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location300 4th St, Danville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811651052
  • Provider Enumeration Date: 10/25/2021
  • Last Update Date: 07/29/2024

Medical Identifiers

Medical identifiers for Jacqueline Mary Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811651052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 381614 (New York)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. Jacqueline Mary Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Mary Kelly, PNP
271 Fellows Ave,
Syracuse, NY 13210-2625

Ph: (315) 877-8055
Jacqueline Mary Kelly, PNP
300 4th St,
Danville, WV 25053-4632

Ph: (304) 369-1230

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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Phone: 304-369-7967    Fax: 304-369-2832
Mrs. Vickie Lynn Powell, FNP-BC
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Medicare: Accepting Medicare Assignments
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Phone: 304-369-0966    

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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.

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