Kelly Ann Bevilaqua-tracy, PA - Medicare Physician Assistant in Scranton, PA

Kelly Ann Bevilaqua-tracy, PA is a medicare enrolled "Physician Assistant" in Scranton, Pennsylvania. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Geisinger Clinic and her current practice location is 1800 Mulberry St, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 703-4830.

Kelly Ann Bevilaqua-tracy is licensed to practice in Pennsylvania (license number MA053585) 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 1114179637.

Contact Information

Kelly Ann Bevilaqua-tracy, PA
1800 Mulberry St,
Scranton, PA 18510-2369
(570) 703-4830
(570) 703-4835

Map and Direction




Provider's Profile

Full NameKelly Ann Bevilaqua-tracy
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location1800 Mulberry St, Scranton, Pennsylvania
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:
  • Kelly Ann Bevilaqua-tracy graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1114179637
  • Provider Enumeration Date: 10/15/2008
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335200971
  • Enrollment ID: I20081202000120

Medical Identifiers

Medical identifiers for Kelly Ann Bevilaqua-tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114179637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA053585 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital
Geisinger-community Medical CenterScranton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012913

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 Ann Bevilaqua-tracy 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
Kelly Ann Bevilaqua-tracy, PA
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Kelly Ann Bevilaqua-tracy, PA
1800 Mulberry St,
Scranton, PA 18510-2369

Ph: (570) 703-4830

Reviews and Comments


Physician Assistant Nurses in Scranton, PA

Alicia Kathleen Crinella, PA-C
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Phone: 570-703-7355    
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Phone: 570-703-8000    
Joseph F Berardelli, P.A.
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Mrs. Megan Ann Bazewicz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Mulberry St, Scranton, PA 18510
Phone: 570-703-4830    Fax: 570-703-4835

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.