Richard Kelley, PA-C in Modesto, CA - Medicare Physician Assistant

Richard Kelley, PA-C is a medicare enrolled "Physician Assistant" in Modesto, California. His current practice location is 1441 Florida Ave, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 576-3609.

Richard Kelley is licensed to practice in California (license number PA15710) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558316786.

Contact Information

	Richard Kelley, PA-C
	1441 Florida Ave, Modesto, CA 95350-4404
	(209) 576-3609
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard Kelley
Gender	Male
Speciality	Physician Assistant
Location	1441 Florida Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558316786
Provider Enumeration Date: 05/24/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9335131275
Enrollment ID: I20040331001666

Medical Identifiers

Medical identifiers for Richard Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558316786	NPI	-	NPPES
CD069A	Other	CA	GROUP PTAN GREATER MODESTO MEDICAL SURGICAL ASSOCIATES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP13052 (California)	Secondary
363A00000X	Physician Assistant	PA15710 (California)	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. Richard 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 Address	Practice Location Address
Richard Kelley, PA-C 1441 Florida Ave, Ste 200, Modesto, CA 95350-4404 Ph: (209) 576-3601	Richard Kelley, PA-C 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 576-3609

Reviews and Comments

Physician Assistant Nurses in Modesto, CA

Thaibinh Paul Lai-nguyen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Melina Lanzar, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687
Penny Goumenidis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609

Richard Kelley, PA-C - Medicare Physician Assistant in Modesto, CA