Ms Rachael Dominique Kelly, PA-C - Medicare Physician Assistant in Ponte Vedra, FL

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Ms Rachael Dominique Kelly, PA-C is a medicare enrolled "Physician Assistant" in Ponte Vedra, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Primary Care Inc and her current practice location is 400 Colonnade Dr Ste 160, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 824-1020.

Ms Rachael Dominique Kelly is licensed to practice in Florida (license number PA9111986) 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 1962964676.

Contact Information

Ms Rachael Dominique Kelly, PA-C
400 Colonnade Dr Ste 160,
Ponte Vedra, FL 32081-6236
(904) 824-1020
(904) 824-5333

Map and Direction




Provider's Profile

Full NameMs Rachael Dominique Kelly
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location400 Colonnade Dr Ste 160, Ponte Vedra, Florida
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:
  • Ms Rachael Dominique Kelly graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1962964676
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 03/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365784667
  • Enrollment ID: I20190508000022

Medical Identifiers

Medical identifiers for Ms Rachael Dominique Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962964676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9111986 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trilogy Home HealthcareJacksonville, FLHome health agency
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733405

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. Ms Rachael Dominique 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
Ms Rachael Dominique Kelly, PA-C
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-1032		Ms Rachael Dominique Kelly, PA-C
400 Colonnade Dr Ste 160,
Ponte Vedra, FL 32081-6236

Ph: (904) 824-1020

Reviews and Comments


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Mr. Ian Alexander Neuhaus, PA-C
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Phone: 904-438-2720    
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Mr. Joshua Michael Dearth, PA-C
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Practice Location: 151 Pine Lake Dr Unit B, Ponte Vedra, FL 32081
Phone: 904-543-3677    

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.