Kelly O'mara, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Manlius, New York. She went to State University Of Ny Upstate Medical University and graduated in 2024 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Sports Physical Therapy Of New York, P.c. and her current practice location is
240 W Seneca St Ste 12, Manlius, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 682-0325.
Kelly O'mara is licensed to practice in New York (license number 053100) 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 1679304315.
Physician's Profile
| Full Name | Kelly O'mara |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 240 W Seneca St Ste 12, Manlius, 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. |
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Medical Education and Training:
- Kelly O'mara attended and graduated from State University Of Ny Upstate Medical University in 2024
NPI Data:
- NPI Number: 1679304315
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800336769
- Enrollment ID: I20240906002480
Medical Identifiers
Medical identifiers for Kelly O'mara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679304315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 053100 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sports Physical Therapy Of New York, P.c. | 4284531674 | 70 |
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 O'mara allows following entities to bill medicare on her behalf.
| Entity Name | Sports Physical Therapy Of New York, P.c. |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1912950072
PECOS PAC ID: 4284531674
Enrollment ID: O20150203001143 |
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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 O'mara 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 O'mara,
144 Harding St,
Syracuse, NY 13208-2405
Ph: (315) 440-4432 | Kelly O'mara,
240 W Seneca St Ste 12,
Manlius, NY 13104-2422
Ph: (315) 682-0325 |
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