Mrs Judy Kelly, FNP is a
Nurse Practitioner - Family based in St. Johnsville, New York. Mrs Judy Kelly is licensed to practice in New York (license number 330791-1) and her current practice location is
St. Mary's Hosp. Fam. Hlth. Ctr. At Johnsville, 7 Timmerman Avenue, St. Johnsville, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 568-7145.
NPI number for Mrs Judy Kelly is 1316946494 and her current mailing address is 427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital @ Amsterdam, Amsterdam, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316946494.
Provider's Profile
| Full Name | Mrs Judy Kelly |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | St. Mary's Hosp. Fam. Hlth. Ctr. At Johnsville, St. Johnsville, 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: 1316946494
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 09/03/2010
Medical Identifiers
Medical identifiers for Mrs Judy Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316946494 | NPI | - | NPPES |
| 141347719 | Other | NY | UHC |
| 970803 | Other | NY | MVP |
| 02406673 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 330791-1 (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. Mrs Judy Kelly 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 |
|---|
Mrs Judy Kelly, FNP
427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital @ Amsterdam,
Amsterdam, NY 12010
Ph: (518) 841-7430 | Mrs Judy Kelly, FNP
St. Mary's Hosp. Fam. Hlth. Ctr. At Johnsville, 7 Timmerman Avenue,
St. Johnsville, NY 13452
Ph: (518) 568-7145 |
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