Mrs Kelly Renet Dale, PA is a medicare enrolled "Physician Assistant - Medical" in Sandusky, Michigan. Her current practice location is
416 Woodland Dr, Sandusky, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 202-6022.
Mrs Kelly Renet Dale is licensed to practice in Michigan (license number 5601003127) 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 1952468530.
Provider's Profile
Full Name | Mrs Kelly Renet Dale |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 416 Woodland Dr, Sandusky, Michigan |
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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. |
Medical Education and Training:
- Mrs Kelly Renet Dale attended and graduated from in
NPI Data:
- NPI Number: 1952468530
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kelly Renet Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952468530 | NPI | - | NPPES |
5601003127 | Other | MI | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 5601003127 (Michigan) | 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 Kelly Renet Dale 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 Renet Dale, PA 2690 Germania Rd, Marlette, MI 48453-8965 Ph: (810) 577-7395 | Mrs Kelly Renet Dale, PA 416 Woodland Dr, Sandusky, MI 48471-1047 Ph: (810) 202-6022 |
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