Kelly M Smith, PA is a
Physician Assistant based in Salem, New York. Kelly M Smith is licensed to practice in New York (license number 003117) and her current practice location is
213 Main Street, Salem Family Health Center, Salem, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 854-3821.
NPI number for Kelly M Smith is 1194818658 and her current mailing address is Po Box 304, Glens Falls, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194818658.
Provider's Profile
| Full Name | Kelly M Smith |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 213 Main Street, Salem, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194818658
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 06/07/2012
Medical Identifiers
Medical identifiers for Kelly M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194818658 | NPI | - | NPPES |
| 01599751 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 003117 (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 M Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly M Smith, PA
Po Box 304,
Glens Falls, NY 12801-0304
Ph: (518) 854-3821 | Kelly M Smith, PA
213 Main Street, Salem Family Health Center,
Salem, NY 12865
Ph: (518) 854-3821 |
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