Mrs Alicia S Kelch, PA-C is a
Physician Assistant - Medical physician based in Menomonee Falls, Wisconsin. Mrs Alicia S Kelch is licensed to practice in Wisconsin (license number 2367-023) and her current practice location is W156n9000 Pilgrim Rd, Menomonee Falls, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 502-8752.
NPI number for Mrs Alicia S Kelch is 1942452289 and her current mailing address is 16505 W National Ave, New Berlin, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942452289.
Physician's Profile
| Full Name | Mrs Alicia S Kelch |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | W156n9000 Pilgrim Rd, Menomonee Falls, Wisconsin |
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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: 1942452289
- Provider Enumeration Date: 10/17/2008
- Last Update Date: 04/01/2019
Medical Identifiers
Medical identifiers for Mrs Alicia S Kelch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942452289 | NPI | - | NPPES |
| 1942452289 | Medicaid | WI | |
| 1942452289 | Other | WI | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2367-23 (Wisconsin) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 236723 (Wisconsin) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA052264 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2367-023 (Wisconsin) | 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. Mrs Alicia S Kelch 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 |
|---|
Mrs Alicia S Kelch, PA-C
16505 W National Ave,
New Berlin, WI 53151-5513
Ph: () - | Mrs Alicia S Kelch, PA-C
W156n9000 Pilgrim Rd,
Menomonee Falls, WI 53051
Ph: (262) 502-8752 |
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