Kelly Anne Rayburn, PA-C in Jbsa Lackland, TX - Medicare Physician Assistant

Kelly Anne Rayburn, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 314-0779.

Kelly Anne Rayburn is licensed to practice in Texas (license number PA05332) 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 1548228398.

Contact Information

	Kelly Anne Rayburn, PA-C
	1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638
	(210) 314-0779
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Anne Rayburn
Gender	Female
Speciality	Physician Assistant - Surgical
Location	1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548228398
Provider Enumeration Date: 05/02/2006
Last Update Date: 12/02/2019

Medicare PECOS Information:

PECOS PAC ID: 8527047869
Enrollment ID: I20070807000564

Medical Identifiers

Medical identifiers for Kelly Anne Rayburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548228398	NPI	-	NPPES
345120501	Medicaid	TX
P01008379	Other	TX	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA05332 (Texas)	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. Kelly Anne Rayburn 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
Kelly Anne Rayburn, PA-C 10922 Iron Spg, Helotes, TX 78023-4569 Ph: (210) 314-0779	Kelly Anne Rayburn, PA-C 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 314-0779

Reviews and Comments

Physician Assistant Nurses in Jbsa Lackland, TX

Jared Ross Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4774
Aaron Caldwell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7809
Glen M. Robinson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sg, Jbsa Lackland, TX 78236 Phone: 210-292-7447
Minh Tran, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-0515
Ms. Chanise Cyrus, PA-C, DSC, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4277
Dr. Mary A Webb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-565-4112
Ifeanyi Nelson Eke, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7348

Kelly Anne Rayburn, PA-C - Medicare Physician Assistant in Jbsa Lackland, TX