Mr Raymond Joseph Kelly, PA-C is a medicare enrolled "Physician Assistant" in East Hills, New York. His current practice location is
2200 Northern Blvd Ste 121, East Hills, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 705-1044.
Mr Raymond Joseph Kelly is licensed to practice in New York (license number 022111) 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 1376038695.
Provider's Profile
Full Name | Mr Raymond Joseph Kelly |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2200 Northern Blvd Ste 121, East Hills, 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: 1376038695
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547676272
- Enrollment ID: I20210304000890
Medical Identifiers
Medical identifiers for Mr Raymond Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376038695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 022111 (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. Mr Raymond Joseph Kelly 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 |
Mr Raymond Joseph Kelly, PA-C 401 S 8th St, Lindenhurst, NY 11757-4614 Ph: (631) 805-1462 | Mr Raymond Joseph Kelly, PA-C 2200 Northern Blvd Ste 121, East Hills, NY 11548-1220 Ph: (516) 705-1044 |
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