Mrs Kerry Marie Phelan, PA-C is a medicare enrolled "Physician Assistant" in Pawcatuck, Connecticut. She went to University Of Colorado School Of Medicine, Denver and graduated in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northeast Medical Group Inc and her current practice location is
91 Voluntown Rd, Pawcatuck, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 599-5477.
Mrs Kerry Marie Phelan is licensed to practice in Connecticut (license number 3144) 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 1881002517.
Provider's Profile
| Full Name | Mrs Kerry Marie Phelan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 91 Voluntown Rd, Pawcatuck, Connecticut |
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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 Kerry Marie Phelan attended and graduated from University Of Colorado School Of Medicine, Denver in 1999
NPI Data:
- NPI Number: 1881002517
- Provider Enumeration Date: 07/25/2014
- Last Update Date: 07/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 0244459592
- Enrollment ID: I20140918000494
Medical Identifiers
Medical identifiers for Mrs Kerry Marie Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881002517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 3144 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Medical Group Inc | 1254233836 | 1244 |
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 Kerry Marie Phelan 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 |
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Mrs Kerry Marie Phelan, PA-C
91 Voluntown Rd,
Pawcatuck, CT 06379-1366
Ph: (860) 599-5477 | Mrs Kerry Marie Phelan, PA-C
91 Voluntown Rd,
Pawcatuck, CT 06379-1366
Ph: (860) 599-5477 |
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