Dr Kelley A Woodruff, MD in Tacoma, WA

Dr Kelley A Woodruff, MD is a medicare enrolled "Pediatrics" physician in Tacoma, Washington. Her current practice location is 9040 Jacksaon Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 459-5161.

Dr Kelley A Woodruff is licensed to practice in Hawaii (license number MD8054) 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 1619903416.

Contact Information

	Dr Kelley A Woodruff, MD
	9040 Jacksaon Ave, Tacoma, WA 98431-0001
	(253) 459-5161
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelley A Woodruff
Gender	Female
Speciality	Pediatrics
Location	9040 Jacksaon Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619903416
Provider Enumeration Date: 06/23/2006
Last Update Date: 12/31/2019

Medicare PECOS Information:

PECOS PAC ID: 5698756757
Enrollment ID: I20150909002914

Medical Identifiers

Medical identifiers for Dr Kelley A Woodruff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619903416	NPI	-	NPPES
MD805403	Other	HI	AET,NYLC,PBP,UHC,QHCP
05727601	Medicaid	HI
0000D06595	Other	HI	HMSA,HMSA QUEST,BCBS
753021507	Other	HI	HILB,HMA,HMAA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	MD8054 (Hawaii)	Secondary
208000000X	Pediatrics	MD8054 (Hawaii)	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. Dr Kelley A Woodruff 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
Dr Kelley A Woodruff, MD 9040 Jacksaon Ave, Tacoma, WA 98431-0001 Ph: (253) 459-5161	Dr Kelley A Woodruff, MD 9040 Jacksaon Ave, Tacoma, WA 98431-0001 Ph: (253) 459-5161

Reviews and Comments

Pediatrics Doctors in Tacoma, WA

David Lee Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Nan Shin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-280-9881
Arthur L Walter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3066
Bradley Stanton Hood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 S L St, Tacoma, WA 98405 Phone: 253-403-1540
Kirk N. Liesemer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3066
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 603 S J St Ste 102, Tacoma, WA 98405 Phone: 253-396-4868 Fax: 253-396-4870
Dr. Michael Timothy Alston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300

Dr Kelley A Woodruff, MD - Medicare Pediatrics in Tacoma, WA