Kellie Lea Mumford, PA-C - Medicare Physician Assistant in Gaylord, MI

Kellie Lea Mumford, PA-C is a medicare enrolled "Physician Assistant" in Gaylord, Michigan. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bay Street Orthopaedics Pllc and her current practice location is 2147 Professional Dr, Gaylord, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 732-1753.

Kellie Lea Mumford is licensed to practice in Michigan (license number 5601005363) 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 1346496759.

Contact Information

Kellie Lea Mumford, PA-C
2147 Professional Dr,
Gaylord, MI 49735-0003
(989) 732-1753
(989) 731-1425

Map and Direction




Provider's Profile

Full NameKellie Lea Mumford
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location2147 Professional Dr, Gaylord, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Lea Mumford graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1346496759
  • Provider Enumeration Date: 08/18/2008
  • Last Update Date: 12/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9234207952
  • Enrollment ID: I20081008000486

Medical Identifiers

Medical identifiers for Kellie Lea Mumford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346496759NPI-NPPES
OF96004OtherMEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601005363 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital
Midmichigan Medical Center - AlpenaAlpena, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bay Street Orthopaedics Pllc468886478819

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 Lea Mumford 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 AddressPractice Location Address
Kellie Lea Mumford, PA-C
829 N Center Ave, Suite 298,
Gaylord, MI 49735-1595

Ph: (989) 731-7708
Kellie Lea Mumford, PA-C
2147 Professional Dr,
Gaylord, MI 49735-0003

Ph: (989) 732-1753

Reviews and Comments


Physician Assistant Nurses in Gaylord, MI

Mr. Dominic Jerome Giallombardo, MT(ASCP), RN, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3529    Fax: 989-732-7865
Evan Steven Gravedoni, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1320 M-32, Gaylord, MI 49735
Phone: 989-731-5092    Fax: 989-705-8323
Brittanie Hamlin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave, Gaylord, MI 49735
Phone: 989-731-7708    Fax: 989-731-7929
Christopher David Blanchet,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 994 N Center Ave, Gaylord, MI 49735
Phone: 989-732-7843    Fax: 989-731-4513
John Matthew Lawrence,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave, Suite 210, Gaylord, MI 49735
Phone: 989-731-7860    Fax: 989-731-7833
Adam Derek-alan Moffatt, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1951 S Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3284    Fax: 989-732-6395

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.