Conor Kelly, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Columbus, Ohio. His current practice location is
3595 Olentangy River Rd, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 556-5456.
Conor Kelly is licensed to practice in * (Not Available) (license number ) 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 1679020754.
Healthcare Provider's Profile
Full Name | Conor Kelly |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 3595 Olentangy River Rd, Columbus, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679020754
- Provider Enumeration Date: 09/06/2016
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527446780
- Enrollment ID: I20220601000538
Medical Identifiers
Medical identifiers for Conor Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679020754 | NPI | - | NPPES |
S022152 | Other | AZ | ARIZONA STATE BOARD OF PHARMACY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | S022152 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Conor 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 Address | Practice Location Address |
Conor Kelly, 3595 Olentangy River Rd, Columbus, OH 43214-3440 Ph: (614) 556-5456 | Conor Kelly, 3595 Olentangy River Rd, Columbus, OH 43214-3440 Ph: (614) 556-5456 |
Reviews and Comments