Kelly Christine Mutsavage, PA-C is a medicare enrolled "Dermatology" physician in Meadville, Pennsylvania. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ucmg Llc and her current practice location is
640 Alden St, Meadville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 724-1252.
Kelly Christine Mutsavage is licensed to practice in Pennsylvania (license number MA052475) 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 1487601886.
Physician's Profile
| Full Name | Kelly Christine Mutsavage |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 640 Alden St, Meadville, Pennsylvania |
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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. |
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Medical Education and Training:
- Kelly Christine Mutsavage graduated from medical school in 2005
NPI Data:
- NPI Number: 1487601886
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840202826
- Enrollment ID: I20060612000054
Medical Identifiers
Medical identifiers for Kelly Christine Mutsavage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487601886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MA052475 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | MA052475 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | MA052475 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | OA002277 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ucmg Llc | 6709398969 | 242 |
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 Christine Mutsavage 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 Christine Mutsavage, PA-C
640 Alden St,
Meadville, PA 16335-2348
Ph: (814) 724-1252 | Kelly Christine Mutsavage, PA-C
640 Alden St,
Meadville, PA 16335-2348
Ph: (814) 724-1252 |
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