Mr Kelly L Sparks, PA - Medicare Physician Assistant in Danville, VA

Mr Kelly L Sparks, PA is a medicare enrolled "Physician Assistant - Surgical" in Danville, Virginia. His current practice location is 109 Bridge St Ste 300, Danville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 793-4711.

Mr Kelly L Sparks is licensed to practice in Virginia (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649245309.

Contact Information

Mr Kelly L Sparks, PA
109 Bridge St Ste 300,
Danville, VA 24541-1222
(434) 793-4711
(434) 797-2514

Map and Direction




Provider's Profile

Full NameMr Kelly L Sparks
GenderMale
SpecialityPhysician Assistant - Surgical
Location109 Bridge St Ste 300, Danville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649245309
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759312861
  • Enrollment ID: I20070905000513

Medical Identifiers

Medical identifiers for Mr Kelly L Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649245309NPI-NPPES
VVX692AOtherVAMEDICARE
0110007007OtherVASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (Virginia)Primary
363AM0700XPhysician Assistant - Medical 0110007007 (Virginia)Secondary
363A00000XPhysician Assistant 10000928A (Indiana)Secondary
363A00000XPhysician Assistant 85080096 (Illinois)Secondary

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. Mr Kelly L Sparks 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
Mr Kelly L Sparks, PA
109 Bridge St Ste 300,
Danville, VA 24541-1222

Ph: (434) 793-4711
Mr Kelly L Sparks, PA
109 Bridge St Ste 300,
Danville, VA 24541-1222

Ph: (434) 793-4711

Reviews and Comments


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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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