Kelly Anne Mamelson, MD in Lebanon, NH - Medicare Student in an Organized Health Care Education/Training Program

Kelly Anne Mamelson, MD - Medicare Student in an Organized Health Care Education/Training Program in Lebanon, NH

Kelly Anne Mamelson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lebanon, New Hampshire. Her current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-5000.

Kelly Anne Mamelson is licensed to practice in * (Not Available) (license number ) 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 1265006589.

Contact Information

	Kelly Anne Mamelson, MD
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Anne Mamelson
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265006589
Provider Enumeration Date: 05/20/2021
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5991109621
Enrollment ID: I20210803002012

Medical Identifiers

Medical identifiers for Kelly Anne Mamelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265006589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	32855 (Florida)	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. Kelly Anne Mamelson 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
Kelly Anne Mamelson, MD 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000	Kelly Anne Mamelson, MD 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000