Mrs Nicole K Kelly, PA - Medicare Physician Assistant in Goshen, NY

Mrs Nicole K Kelly, PA is a medicare enrolled "Physician Assistant" in Goshen, New York. Her current practice location is 30 Hatfield Ln, Ste 109, Goshen, New York. You can reach out to her office (for appointments etc.) via phone at (845) 692-3111.

Mrs Nicole K Kelly is licensed to practice in New York (license number 014253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760787709.

Contact Information

Mrs Nicole K Kelly, PA
30 Hatfield Ln, Ste 109,
Goshen, NY 10924-6766
(845) 692-3111
(845) 294-0118

Map and Direction




Provider's Profile

Full NameMrs Nicole K Kelly
GenderFemale
SpecialityPhysician Assistant
Location30 Hatfield Ln, Goshen, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760787709
  • Provider Enumeration Date: 01/24/2011
  • Last Update Date: 11/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2567646136
  • Enrollment ID: I20110405000995

Medical Identifiers

Medical identifiers for Mrs Nicole K Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760787709NPI-NPPES
1095483OtherNYCERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 014253 (New York)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 Nicole K 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 AddressPractice Location Address
Mrs Nicole K Kelly, PA
2 Coates Dr,
Goshen, NY 10924-6758

Ph: (845) 651-1412
Mrs Nicole K Kelly, PA
30 Hatfield Ln, Ste 109,
Goshen, NY 10924-6766

Ph: (845) 692-3111

Reviews and Comments


Physician Assistant Nurses in Goshen, NY

Kaitlyn J Buck, PA
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Phone: 845-294-0661    Fax: 845-818-9646
Ms. Aviva Frommer, PA
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Medicare: Medicare Enrolled
Practice Location: 70 Hatfield Ln, Suite 204, Goshen, NY 10924
Phone: 845-291-1260    Fax: 845-294-2312
Fabio Collarelli, RPA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 30 Hatfield Ln, Suite 201, Goshen, NY 10924
Phone: 845-294-3446    Fax: 845-294-4171
Kerry Gomulka, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 30 Hatfield Ln, Suite 101, Goshen, NY 10924
Phone: 845-294-2733    Fax: 845-294-6486
Mrs. Erica P Celestine, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7 Coates Dr, Suite 4, Goshen, NY 10924
Phone: 845-294-8831    Fax: 845-294-1180
Helen Fajardo, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 70 Hatfield Ln, Goshen, NY 10924
Phone: 845-291-3656    

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.