Kellie Lyn Flaherty, PA - Medicare Physician Assistant in Texarkana, TX

Kellie Lyn Flaherty, PA is a medicare enrolled "Physician Assistant" in Texarkana, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southeast Texas Intensivists, Pllc, Jefferson Emergency Physicians Pllc, Gulf Coast Intensivists, Pllc and her current practice location is 2604 Saint Michael Dr, Suite 340, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 614-5111.

Kellie Lyn Flaherty is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265988208.

Contact Information

Kellie Lyn Flaherty, PA
2604 Saint Michael Dr, Suite 340,
Texarkana, TX 75503-2379
(903) 614-5111
Not Available

Map and Direction




Provider's Profile

Full NameKellie Lyn Flaherty
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location2604 Saint Michael Dr, Texarkana, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Lyn Flaherty graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1265988208
  • Provider Enumeration Date: 08/30/2016
  • Last Update Date: 08/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6709162928
  • Enrollment ID: I20170424000969

Medical Identifiers

Medical identifiers for Kellie Lyn Flaherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265988208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus St Michael Health SystemTexarkana, TXHospital
Brattleboro Memorial HospitalBrattleboro, VTHospital
Christus Good Shepherd Medical CenterLongview, TXHospital
Christus Southeast Texas- St ElizabethBeaumont, TXHospital
Christus Spohn Hospital Corpus ChristiCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Texas Intensivists, Pllc781034267237
Jefferson Emergency Physicians Pllc488004856094
Gulf Coast Intensivists, Pllc226489636439

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Lyn Flaherty allows following entities to bill medicare on her behalf.
Entity NameTravis County Emergency Physicians PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962440933
PECOS PAC ID: 0840289468
Enrollment ID: O20040510000492
Entity NameCogent Healthcare of Texas PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameHospitalist Medicine Physicians of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameAcute Care Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740655273
PECOS PAC ID: 6800190364
Enrollment ID: O20160204000716
Entity NameUnion Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023798501
PECOS PAC ID: 7810359759
Enrollment ID: O20230809003411
Entity NameNortheast Texas Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114607611
PECOS PAC ID: 8527420306
Enrollment ID: O20230810001225
Entity NameGulf Coast Intensivists, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104509199
PECOS PAC ID: 2264896364
Enrollment ID: O20230907002726
Entity NameJefferson Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609559699
PECOS PAC ID: 4880048560
Enrollment ID: O20230928003491
Entity NameSoutheast Texas Intensivists, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801579867
PECOS PAC ID: 7810342672
Enrollment ID: O20231013001474

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 Lyn Flaherty 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 AddressPractice Location Address
Kellie Lyn Flaherty, PA
2604 Saint Michael Dr, Suite 340,
Texarkana, TX 75503-2379

Ph: Not Available
Kellie Lyn Flaherty, PA
2604 Saint Michael Dr, Suite 340,
Texarkana, TX 75503-2379

Ph: (903) 614-5111

Reviews and Comments


Physician Assistant Nurses in Texarkana, TX

William Bowling, P.A
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Aidan Goodreau, PA-C
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Phone: 903-614-5641    
Bryan Spruill, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503
Phone: 903-614-3008    Fax: 903-614-3525
Stephen Kyle Keith, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503
Phone: 903-614-3000    Fax: 903-614-3525

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.