Phillip Antonio Kelley, PA-C - Medicare Physician Assistant in Winston Salem, NC

Phillip Antonio Kelley, PA-C is a medicare enrolled "Physician Assistant" in Winston Salem, North Carolina. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Novant Medical Group Inc and his current practice location is 390 W Salem Ave, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 721-2375.

Phillip Antonio Kelley is licensed to practice in North Carolina (license number 0010-04383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083055396.

Contact Information

Phillip Antonio Kelley, PA-C
390 W Salem Ave,
Winston Salem, NC 27101-5861
(336) 721-2375
(336) 721-2394

Map and Direction




Provider's Profile

Full NamePhillip Antonio Kelley
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location390 W Salem Ave, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phillip Antonio Kelley graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1083055396
  • Provider Enumeration Date: 07/15/2013
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759515190
  • Enrollment ID: I20131017001705

Medical Identifiers

Medical identifiers for Phillip Antonio Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083055396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-04383 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

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. Phillip Antonio Kelley 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
Phillip Antonio Kelley, PA-C
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -
Phillip Antonio Kelley, PA-C
390 W Salem Ave,
Winston Salem, NC 27101-5861

Ph: (336) 721-2375

Reviews and Comments


Physician Assistant Nurses in Winston Salem, NC

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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.