Mr Kelly Marcum, NP is a
Nurse Practitioner - Family based in Overgaard, Arizona. Mr Kelly Marcum is licensed to practice in Arizona (license number RN036514) and his current practice location is
2931 S Hwy 260, Overgaard, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 536-3616.
NPI number for Mr Kelly Marcum is 1619973930 and his current mailing address is 2200 E Show Low Lake Rd, Show Low, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619973930.
Provider's Profile
| Full Name | Mr Kelly Marcum |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2931 S Hwy 260, Overgaard, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619973930
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 12/30/2013
Medical Identifiers
Medical identifiers for Mr Kelly Marcum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619973930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN036514 (Arizona) | 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. Mr Kelly Marcum 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 |
|---|
Mr Kelly Marcum, NP
2200 E Show Low Lake Rd,
Show Low, AZ 85901
Ph: (928) 537-6978 | Mr Kelly Marcum, NP
2931 S Hwy 260,
Overgaard, AZ 85933
Ph: (928) 536-3616 |
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