Kellie Dewitt, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in El Paso, Illinois. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carle Eureka Hospital and her current practice location is
385 S Orange Street, El Paso, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 527-4900.
Kellie Dewitt is licensed to practice in Illinois (license number 085003478) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871722868.
Provider's Profile
| Full Name | Kellie Dewitt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 385 S Orange Street, El Paso, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellie Dewitt graduated from nursing school in 2009
NPI Data:
- NPI Number: 1871722868
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 09/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 7719128982
- Enrollment ID: I20130731000085
Medical Identifiers
Medical identifiers for Kellie Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871722868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085003478 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carle Eureka Hospital | 3870914393 | 10 |
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. Kellie Dewitt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kellie Dewitt, PHYSICIAN ASSISTANT
385 S Orange St,
El Paso, IL 61738-1613
Ph: (309) 527-4900 | Kellie Dewitt, PHYSICIAN ASSISTANT
385 S Orange Street,
El Paso, IL 71738
Ph: (309) 527-4900 |
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