Mrs Kelly O'sullivan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Lancaster, New York. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice General Physician Pc and her current practice location is
3 Silent Meadow Ln, Dept Of Medicine, Lancaster, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 391-0937.
Mrs Kelly O'sullivan is licensed to practice in New York (license number 007841) 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 1467488072.
Provider's Profile
| Full Name | Mrs Kelly O'sullivan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 3 Silent Meadow Ln, Lancaster, New York |
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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:
- Mrs Kelly O'sullivan graduated from nursing school in 2000
NPI Data:
- NPI Number: 1467488072
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 01/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 5193624484
- Enrollment ID: I20040106000378
Medical Identifiers
Medical identifiers for Mrs Kelly O'sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467488072 | NPI | - | NPPES |
| 02426548 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 007841 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| General Physician Pc | 9537213079 | 331 |
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. Mrs Kelly O'sullivan 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 |
|---|
Mrs Kelly O'sullivan, PA-C
4278 Coventry Green Cir, Dept Of Medicine,
Williamsville, NY 14221-7237
Ph: (585) 802-1510 | Mrs Kelly O'sullivan, PA-C
3 Silent Meadow Ln, Dept Of Medicine,
Lancaster, NY 14086-3430
Ph: (716) 391-0937 |
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