Kelly A Viscosi, PA is a medicare enrolled "Physician Assistant" in Mayfield, New York. She went to Albany Medical College Of Union University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Nathan Littauer Hospital Association and her current practice location is
2497 State Highway 30, Mayfield, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 661-5493.
Kelly A Viscosi is licensed to practice in New York (license number 005674) 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 1184732539.
Provider's Profile
| Full Name | Kelly A Viscosi |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 2497 State Highway 30, Mayfield, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly A Viscosi attended and graduated from Albany Medical College Of Union University in 1996
NPI Data:
- NPI Number: 1184732539
- Provider Enumeration Date: 08/27/2006
- Last Update Date: 01/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 8325233448
- Enrollment ID: I20101115000187
Medical Identifiers
Medical identifiers for Kelly A Viscosi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184732539 | NPI | - | NPPES |
| 91153 | Other | NY | MVP HEALTHCARE |
| 1184732539 | Other | NY | BSH NE NY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 005674 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nathan Littauer Hospital Association | 4183618101 | 89 |
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. Kelly A Viscosi 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 |
|---|
Kelly A Viscosi, PA
99 E State St, Po Box 1250,
Gloversville, NY 12078-1203
Ph: (518) 661-5493 | Kelly A Viscosi, PA
2497 State Highway 30,
Mayfield, NY 12117-4020
Ph: (518) 661-5493 |
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