Kelly Anne Imphong, - Medicare Physician Assistant in Baltimore, MD

Kelly Anne Imphong, is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. Her current practice location is 301 St. Paul Place, Dept. Of Cardiology, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 332-9722.

Kelly Anne Imphong is licensed to practice in * (Not Available) (license number ) 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 1053644542.

Contact Information

Kelly Anne Imphong,
301 St. Paul Place, Dept. Of Cardiology,
Baltimore, MD 21202-2102
(410) 332-9722
Not Available

Map and Direction




Provider's Profile

Full NameKelly Anne Imphong
GenderFemale
SpecialityPhysician Assistant
Location301 St. Paul Place, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053644542
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 09/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7315086303
  • Enrollment ID: I20091204000155

Medical Identifiers

Medical identifiers for Kelly Anne Imphong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053644542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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 Imphong 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
Kelly Anne Imphong,
301 St. Paul Place, Medical Staff Office,
Baltimore, MD 21202-2102

Ph: () -
Kelly Anne Imphong,
301 St. Paul Place, Dept. Of Cardiology,
Baltimore, MD 21202-2102

Ph: (410) 332-9722

Reviews and Comments


Physician Assistant Nurses in Baltimore, MD

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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.

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