| Kelli Jean Moylan, PA-C | |
|
457 Railroad St Ste 2, St Johnsbury, VT 05819-1643 | |
| (802) 633-6351 | |
| (802) 748-0977 |
| Full Name | Kelli Jean Moylan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 457 Railroad St Ste 2, St Johnsbury, Vermont |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144778192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10094033-1206 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 055.0031485 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| North Country Hospital And Health Center | Newport, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Counties Health Care Inc | 2860300936 | 42 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Jean Moylan, PA-C 165 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (850) 212-1040 | Kelli Jean Moylan, PA-C 457 Railroad St Ste 2, St Johnsbury, VT 05819-1643 Ph: (802) 633-6351 |
Ms. Jennifer K Winings, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 Fax: 802-748-4098 | |
Olivia Bellavance, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 41 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-5361 | |
Keith Ruede, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Patrick Anderson, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 185 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-5041 Fax: 802-748-5094 | |
Joseph W Prescott, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Mark J Regis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 Fax: 802-748-4098 |