Kelly Leese Miserendino, PAC is a medicare enrolled "Physician Assistant - Medical" physician in York, Pennsylvania. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wellspan Medical Group and her current practice location is
228 Saint Charles Way Ste 300, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 812-5400.
Kelly Leese Miserendino is licensed to practice in Pennsylvania (license number MA057146) 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 1417351958.
Physician's Profile
| Full Name | Kelly Leese Miserendino |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 228 Saint Charles Way Ste 300, York, 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 Leese Miserendino graduated from medical school in 2014
NPI Data:
- NPI Number: 1417351958
- Provider Enumeration Date: 10/13/2014
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224350137
- Enrollment ID: I20141204000153
Medical Identifiers
Medical identifiers for Kelly Leese Miserendino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417351958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0110006374 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA057146 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellspan Medical Group | 1951213115 | 1946 |
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 Leese Miserendino 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 |
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Kelly Leese Miserendino, PAC
3421 Concord Rd,
York, PA 17402-9001
Ph: (717) 812-5400 | Kelly Leese Miserendino, PAC
228 Saint Charles Way Ste 300,
York, PA 17402-4661
Ph: (717) 812-5400 |
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