Mrs Amy Sue Kelly, PA-C - Medicare Physician Assistant in Supply, NC

Mrs Amy Sue Kelly, PA-C is a medicare enrolled "Physician Assistant" in Supply, North Carolina. Her current practice location is 2930 Holden Beach Rd Sw, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 842-5991.

Mrs Amy Sue Kelly is licensed to practice in North Carolina (license number 102882) 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 1467486092.

Contact Information

Mrs Amy Sue Kelly, PA-C
2930 Holden Beach Rd Sw,
Supply, NC 28462-5702
(910) 842-5991
(910) 842-5994

Map and Direction




Provider's Profile

Full NameMrs Amy Sue Kelly
GenderFemale
SpecialityPhysician Assistant
Location2930 Holden Beach Rd Sw, Supply, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467486092
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 12/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0547167553
  • Enrollment ID: I20031217000896

Medical Identifiers

Medical identifiers for Mrs Amy Sue Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467486092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 102882 (North Carolina)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 Amy Sue 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 Amy Sue Kelly, PA-C
2930 Holden Beach Road,
Supply, NC 28462-4096

Ph: (910) 842-5991
Mrs Amy Sue Kelly, PA-C
2930 Holden Beach Rd Sw,
Supply, NC 28462-5702

Ph: (910) 842-5991

Reviews and Comments


Physician Assistant Nurses in Supply, NC

Ms. Meaghan Rae Scarlett, RPAC
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Medicare: Accepting Medicare Assignments
Practice Location: 545 Ocean Hwy W, Supply, NC 28462
Phone: 910-253-3380    Fax: 910-338-3993
Devyn Lockley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6 Doctors Cir, Supply, NC 28462
Phone: 910-721-4370    
Amanda Evelyn Swiss, PA-C
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Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462
Phone: 910-721-4370    
Jonathan Nicholas Desillier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462
Phone: 910-721-4370    
Kirsten M Schneider, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 58 Physicians Dr Nw Ste 103, Supply, NC 28462
Phone: 910-794-5355    
Kristen Leeann Canady, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 610 Ocean Hwy W, Supply, NC 28462
Phone: 910-356-6100    
Susan Dennie Gibble, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 16 Medical Center Dr, Supply, NC 28462
Phone: 910-754-8921    Fax: 910-754-7140

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.