Keely R Phelps, PA-C in Indianapolis, IN - Medicare Physician Assistant

Keely R Phelps, PA-C is a medicare enrolled "Physician Assistant" in Indianapolis, Indiana. Her current practice location is 1701 N Senate Blvd, Rm Dg412, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 962-3886.

Keely R Phelps is licensed to practice in Indiana (license number 10001329A) 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 1962785154.

Contact Information

	Keely R Phelps, PA-C
	1701 N Senate Blvd, Rm Dg412, Indianapolis, IN 46202-1239
	(317) 962-3886
	(317) 963-5492

Map and Direction

Provider's Profile

Full Name	Keely R Phelps
Gender	Female
Speciality	Physician Assistant
Location	1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962785154
Provider Enumeration Date: 09/23/2011
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496927790
Enrollment ID: I20111010000569

Medical Identifiers

Medical identifiers for Keely R Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962785154	NPI	-	NPPES
000000749492	Other	IN	ANTHEM BC/BS PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	99048685 (Indiana)	Secondary
363A00000X	Physician Assistant	10001329A (Indiana)	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. Keely R Phelps 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
Keely R Phelps, PA-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Keely R Phelps, PA-C 1701 N Senate Blvd, Rm Dg412, Indianapolis, IN 46202-1239 Ph: (317) 962-3886

Reviews and Comments

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Keely R Phelps, PA-C - Medicare Physician Assistant in Indianapolis, IN