Kelly Butler-vise, PA-C is a medicare enrolled "Physician Assistant" in Carlisle, Kentucky. Her current practice location is
107 S Broadway St, Carlisle, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 289-4124.
Kelly Butler-vise is licensed to practice in Kentucky (license number PA1334) 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 1164752903.
Provider's Profile
| Full Name | Kelly Butler-vise |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 107 S Broadway St, Carlisle, Kentucky |
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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 Butler-vise attended and graduated from in
NPI Data:
- NPI Number: 1164752903
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 02/13/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Butler-vise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164752903 | NPI | - | NPPES |
| 7100123820 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA1334 (Kentucky) | Primary |
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 Butler-vise 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 Butler-vise, PA-C
107 S Broadway St,
Carlisle, KY 40311-1150
Ph: (859) 289-4124 | Kelly Butler-vise, PA-C
107 S Broadway St,
Carlisle, KY 40311-1150
Ph: (859) 289-4124 |
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