Elaine D Kelly, PA-C is a 
Physician Assistant - Medical based in Blackduck, Minnesota. Elaine D Kelly is licensed to practice in Minnesota (license number 9428) and her current practice location is 
1st Ave W & Margaret St, Blackduck, Minnesota. She can be reached at her office (for appointments etc.) via phone at 
(218) 835-5837.
NPI number for Elaine D Kelly is 1306865423 and her current mailing address is 1st Ave W & Margaret St, Blackduck, Minnesota. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306865423.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Elaine D Kelly | 
|---|
| Gender | Female | 
|---|
| Speciality | Physician Assistant - Medical | 
|---|
| Location | 1st Ave W & Margaret St, Blackduck, Minnesota | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1306865423
 - Provider Enumeration Date: 07/19/2006
 - Last Update Date: 09/12/2008
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Elaine D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1306865423 | NPI | - | NPPES | 
| 180115500 | Medicaid | MN |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 363AM0700X | Physician Assistant - Medical  | 9428 (Minnesota) | 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. Elaine D Kelly 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 | 
		Elaine D Kelly, PA-C 1st Ave W & Margaret St, Blackduck, MN 56630 Ph: (218) 835-5837 | Elaine D Kelly, PA-C 1st Ave W & Margaret St, Blackduck, MN 56630 Ph: (218) 835-5837 | 
		
		 
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