Mrs Amy Sue Kelly, PA-C in Supply, NC - Medicare Physician Assistant

Mrs Amy Sue Kelly, PA-C is a medicare enrolled "Physician Assistant" in Supply, North Carolina. Her current practice location is 2930 Holden Beach Rd Sw, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 842-5991.

Mrs Amy Sue Kelly is licensed to practice in North Carolina (license number 102882) 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 1467486092.

Contact Information

	Mrs Amy Sue Kelly, PA-C
	2930 Holden Beach Rd Sw, Supply, NC 28462-5702
	(910) 842-5991
	(910) 842-5994

Map and Direction

Provider's Profile

Full Name	Mrs Amy Sue Kelly
Gender	Female
Speciality	Physician Assistant
Location	2930 Holden Beach Rd Sw, Supply, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467486092
Provider Enumeration Date: 07/10/2006
Last Update Date: 12/22/2011

Medicare PECOS Information:

PECOS PAC ID: 0547167553
Enrollment ID: I20031217000896

Medical Identifiers

Medical identifiers for Mrs Amy Sue Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467486092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	102882 (North Carolina)	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. Mrs Amy Sue 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
Mrs Amy Sue Kelly, PA-C 2930 Holden Beach Road, Supply, NC 28462-4096 Ph: (910) 842-5991	Mrs Amy Sue Kelly, PA-C 2930 Holden Beach Rd Sw, Supply, NC 28462-5702 Ph: (910) 842-5991

Reviews and Comments

Physician Assistant Nurses in Supply, NC

Ms. Meaghan Rae Scarlett, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 545 Ocean Hwy W, Supply, NC 28462 Phone: 910-253-3380 Fax: 910-338-3993
Devyn Lockley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Doctors Cir, Supply, NC 28462 Phone: 910-721-4370
Amanda Evelyn Swiss, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462 Phone: 910-721-4370
Jonathan Nicholas Desillier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462 Phone: 910-721-4370
Kirsten M Schneider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58 Physicians Dr Nw Ste 103, Supply, NC 28462 Phone: 910-794-5355
Kristen Leeann Canady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 610 Ocean Hwy W, Supply, NC 28462 Phone: 910-356-6100
Susan Dennie Gibble, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16 Medical Center Dr, Supply, NC 28462 Phone: 910-754-8921 Fax: 910-754-7140

Mrs Amy Sue Kelly, PA-C - Medicare Physician Assistant in Supply, NC