Kelly Brant Pike, DO is a medicare enrolled "Family Medicine" physician in New York City, New York. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Dhhs Phs Naihs Shiprock Hospital and her current practice location is
1824 Madison Ave, 5th Floor, New York City, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 423-4500.
Kelly Brant Pike is licensed to practice in New York (license number 287255) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235524794.
Physician's Profile
| Full Name | Kelly Brant Pike |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 1824 Madison Ave, New York City, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Brant Pike attended and graduated from Philadelphia College Of Osteopathic Medicine in 2015
NPI Data:
- NPI Number: 1235524794
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 10/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042565178
- Enrollment ID: I20220830004462
Medical Identifiers
Medical identifiers for Kelly Brant Pike such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235524794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 287255 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dhhs Phs Naihs Shiprock Hospital | 0749193837 | 119 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Brant Pike allows following entities to bill medicare on her behalf.
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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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 Brant Pike 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 Brant Pike, DO 1824 Madison Ave, New York, NY 10035-3832 Ph: (212) 423-4500 | Kelly Brant Pike, DO 1824 Madison Ave, 5th Floor, New York City, NY 10035 Ph: (212) 423-4500 |
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