Kelly Butler-vise, PA-C is a medicare enrolled "Physician Assistant" in Carlisle, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St. Claire Medical Center Inc and her current practice location is
107 S Broadway St, Carlisle, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 289-4124.
Kelly Butler-vise is licensed to practice in Kentucky (license number PA1334) 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 1164752903.
Provider's Profile
| Full Name | Kelly Butler-vise |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 107 S Broadway St, Carlisle, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Butler-vise attended and graduated from University Of Kentucky College Of Medicine in 2009
NPI Data:
- NPI Number: 1164752903
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 02/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 9537294897
- Enrollment ID: I20100312000168
Medical Identifiers
Medical identifiers for Kelly Butler-vise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164752903 | NPI | - | NPPES |
| 7100123820 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA1334 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Claire Medical Center Inc | 4486559085 | 125 |
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 Butler-vise 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 Butler-vise, PA-C
107 S Broadway St,
Carlisle, KY 40311-1150
Ph: (859) 289-4124 | Kelly Butler-vise, PA-C
107 S Broadway St,
Carlisle, KY 40311-1150
Ph: (859) 289-4124 |
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