Kelly D Butterfield, RPA is a medicare enrolled "Physician Assistant - Surgical" in Averill Park, New York. Her current practice location is
66 Hoffman Rd, Averill Park, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 674-0504.
Kelly D Butterfield is licensed to practice in New York (license number 003827) 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 1407980360.
Provider's Profile
Full Name | Kelly D Butterfield |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 66 Hoffman Rd, Averill Park, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407980360
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 05/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082897616
- Enrollment ID: I20110321000057
Medical Identifiers
Medical identifiers for Kelly D Butterfield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407980360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | 003827 (New York) | 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 D Butterfield 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 D Butterfield, RPA Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Kelly D Butterfield, RPA 66 Hoffman Rd, Averill Park, NY 12018-4511 Ph: (518) 674-0504 |
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