Grace Katherine Kelly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. Her current practice location is
1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 392-4541.
Grace Katherine Kelly is licensed to practice in Florida (license number ME175865) 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 1821790262.
Physician's Profile
Full Name | Grace Katherine Kelly |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1600 Sw Archer Rd, Gainesville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821790262
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800329558
- Enrollment ID: I20241101002505
Medical Identifiers
Medical identifiers for Grace Katherine Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821790262 | NPI | - | NPPES |
127867300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | ME175865 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | ME175865 (Florida) | 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. Grace Katherine 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 |
Grace Katherine Kelly, MD 1707 N Main St, Gainesville, FL 32609-3650 Ph: (352) 265-9593 | Grace Katherine Kelly, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3650 Ph: (352) 392-4541 |
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