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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