Kelly Kirsten O'malia, MD is a
Family Medicine physician based in Bristolville, Ohio. Kelly Kirsten O'malia is licensed to practice in Ohio (license number 35073030) and her current practice location is 6265 State Route 45, Bristolville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 889-9009.
NPI number for Kelly Kirsten O'malia is 1376546697 and her current mailing address is 6265 State Route 45, Po Box 280, Bristolville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376546697.
Physician's Profile
| Full Name | Kelly Kirsten O'malia |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 6265 State Route 45, Bristolville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376546697
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 02/11/2009
Medical Identifiers
Medical identifiers for Kelly Kirsten O'malia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376546697 | NPI | - | NPPES |
| 835645 | Other | OH | CIGNA |
| PO0020658 | Other | OH | RAILROAD MEDICARE |
| 000000284981 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 5300780 | Other | OH | AETNA |
| 2122385 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35073030 (Ohio) | 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 Kirsten O'malia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Kirsten O'malia, MD
6265 State Route 45, Po Box 280,
Bristolville, OH 44402-0280
Ph: (330) 889-9009 | Kelly Kirsten O'malia, MD
6265 State Route 45,
Bristolville, OH 44402
Ph: (330) 889-9009 |
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