| Christopher Patrick Kelly, PAC | |
|
202 Larry Joe Harless Dr., Gilbert, WV 25621-1842 | |
| (304) 664-6270 | |
| (304) 664-6272 |
| Full Name | Christopher Patrick Kelly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 202 Larry Joe Harless Dr., Gilbert, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407137110 | NPI | - | NPPES |
| 3810025900 | Medicaid | WV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Home Health | Chapmanville, WV | Home health agency |
| Centerwell Home Health | Beckley, WV | Home health agency |
| Logan Arh Home Health Agency | Logan, WV | Home health agency |
| Logan Regional Medical Center | Logan, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Boone Memorial Hospital, Inc | Madison, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln County Primary Care Center Inc | 6204821879 | 40 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Cherokee Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643938 PECOS PAC ID: 2961396122 Enrollment ID: O20040210000492 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Entity Name | Health Care Alliance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610594 PECOS PAC ID: 6204821879 Enrollment ID: O20121005000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Patrick Kelly, PAC 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Christopher Patrick Kelly, PAC 202 Larry Joe Harless Dr., Gilbert, WV 25621-1842 Ph: (304) 664-6270 |
Ms. Cherri Denise Hatfield, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Rt 52 Main St, Gilbert, WV 25621 Phone: 304-664-8924 Fax: 304-664-8746 |