Kelly Beyer, PA-C is a medicare enrolled "Physician Assistant" physician in Chicago, Illinois. Her current practice location is
259 E Erie St Ste 2020, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 695-6647.
Kelly Beyer is licensed to practice in Illinois (license number 085010940) 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 1629882071.
Physician's Profile
| Full Name | Kelly Beyer |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 259 E Erie St Ste 2020, Chicago, Illinois |
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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: 1629882071
- Provider Enumeration Date: 02/05/2025
- Last Update Date: 05/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274056791
- Enrollment ID: I20250325003806
Medical Identifiers
Medical identifiers for Kelly Beyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629882071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 085.010940 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085010940 (Illinois) | 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 Beyer 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 Beyer, PA-C 259 E Erie St Ste 2020, Chicago, IL 60611-2994 Ph: (312) 695-6647 | Kelly Beyer, PA-C 259 E Erie St Ste 2020, Chicago, IL 60611-2994 Ph: (312) 695-6647 |
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