Mary Ann Kelly, RD is a
Dietitian, Registered based in Simpson, Pennsylvania. Mary Ann Kelly is licensed to practice in Pennsylvania (license number DN000257) and her current practice location is
705 Main St, Simpson, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 955-7133.
NPI number for Mary Ann Kelly is 1346340445 and her current mailing address is 705 Main St, Simpson, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346340445.
Healthcare Provider's Profile
| Full Name | Mary Ann Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 705 Main St, Simpson, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346340445
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 10/27/2025
Medical Identifiers
Medical identifiers for Mary Ann Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346340445 | NPI | - | NPPES |
| 1346340445 | Medicaid | NY | |
| 1346340445 | Other | NY | NUTRITION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DN000257 (Pennsylvania) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 816228 (New York) | Secondary |
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. Mary Ann Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mary Ann Kelly, RD 705 Main St, Simpson, PA 18407-1215 Ph: (570) 955-7133 | Mary Ann Kelly, RD 705 Main St, Simpson, PA 18407-1215 Ph: (570) 955-7133 |
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