Mrs Kelsey Marie Kelly, PA-C is a medicare enrolled "Physician Assistant - Medical" in Dale, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Little Company Of Mary Hospital Of Indiana Inc and her current practice location is
4 W Vine St, Dale, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 937-7140.
Mrs Kelsey Marie Kelly is licensed to practice in Indiana (license number 10002285A) 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 1083135610.
Provider's Profile
Full Name | Mrs Kelsey Marie Kelly |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 7 Years |
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Location | 4 W Vine St, Dale, Indiana |
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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 Kelsey Marie Kelly graduated from nursing school in 2017
NPI Data:
- NPI Number: 1083135610
- Provider Enumeration Date: 07/05/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6406120310
- Enrollment ID: I20170915001719
Medical Identifiers
Medical identifiers for Mrs Kelsey Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083135610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 10002285A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Little Company Of Mary Hospital Of Indiana Inc | 4587578042 | 154 |
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 Kelsey Marie 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 Kelsey Marie Kelly, PA-C Po Box 599, Dale, IN 47523-0599 Ph: (812) 937-7140 | Mrs Kelsey Marie Kelly, PA-C 4 W Vine St, Dale, IN 47523-9061 Ph: (812) 937-7140 |
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