Mrs Kelly L Stafford, PA-C - Medicare Physician Assistant in Charlotte, NC

Mrs Kelly L Stafford, PA-C is a medicare enrolled "Physician Assistant" in Charlotte, North Carolina. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Orthocarolina, Pa and her current practice location is 2001 Vail Ave, Suite 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 323-2000.

Mrs Kelly L Stafford is licensed to practice in North Carolina (license number 0010-02443) 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 1184626806.

Contact Information

Mrs Kelly L Stafford, PA-C
2001 Vail Ave, Suite 200,
Charlotte, NC 28207-1219
(704) 323-2000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kelly L Stafford
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location2001 Vail Ave, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly L Stafford graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1184626806
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 03/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7315985314
  • Enrollment ID: I20110106000603

Medical Identifiers

Medical identifiers for Mrs Kelly L Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184626806NPI-NPPES
MA051965OtherPAMEDICAL PHYSICIAN ASST
PA05336OtherTXTEXAS STATE LICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical MA051965 (Pennsylvania)Secondary
363A00000XPhysician Assistant 0010-02443 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthocarolina, Pa2062316821431

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 L Stafford 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 AddressPractice Location Address
Mrs Kelly L Stafford, PA-C
4601 Park Rd, Suite 200,
Charlotte, NC 28209-3239

Ph: (704) 323-2000
Mrs Kelly L Stafford, PA-C
2001 Vail Ave, Suite 200,
Charlotte, NC 28207-1219

Ph: (704) 323-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.