Mrs Kelly G Passarello, PA-C is a medicare enrolled "Family Medicine - Adult Medicine" in Summerville, South Carolina. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carolina Family Care Inc and her current practice location is
87 Springview Ln, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 876-7979.
Mrs Kelly G Passarello is licensed to practice in South Carolina (license number 1710) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639449697.
Provider's Profile
| Full Name | Mrs Kelly G Passarello |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 87 Springview Ln, Summerville, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kelly G Passarello graduated from nursing school in 2011
NPI Data:
- NPI Number: 1639449697
- Provider Enumeration Date: 01/09/2012
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163661885
- Enrollment ID: I20221208000329
Medical Identifiers
Medical identifiers for Mrs Kelly G Passarello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639449697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA08170 (Texas) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 1710 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolina Family Care Inc | 4587557731 | 63 |
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 Kelly G Passarello 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 Kelly G Passarello, PA-C
Po Box 602108,
Charlotte, NC 28260-2108
Ph: () - | Mrs Kelly G Passarello, PA-C
87 Springview Ln,
Summerville, SC 29485-9077
Ph: (843) 876-7979 |
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