Kellie Dewitt, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in El Paso, Illinois. Her current practice location is
385 S Orange Street, El Paso, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 527-4900.
Kellie Dewitt is licensed to practice in Illinois (license number 085003478) 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 1871722868.
Provider's Profile
Full Name | Kellie Dewitt |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 385 S Orange Street, El Paso, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871722868
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 09/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 7719128982
- Enrollment ID: I20130731000085
Medical Identifiers
Medical identifiers for Kellie Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871722868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085003478 (Illinois) | 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. Kellie Dewitt 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 |
Kellie Dewitt, PHYSICIAN ASSISTANT 385 S Orange St, El Paso, IL 61738-1613 Ph: (309) 527-4900 | Kellie Dewitt, PHYSICIAN ASSISTANT 385 S Orange Street, El Paso, IL 71738 Ph: (309) 527-4900 |
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