Kelly Marie Prall, PA-C is a medicare enrolled "Physician Assistant" in Wilkes-barre Twp., Pennsylvania. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ophelia Medical Group Fl Pa, Ophelia Medical Group Nj Pc and her current practice location is
677 Kidder Street, Wilkes-barre Twp., Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 825-2046.
Kelly Marie Prall 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 1336576305.
Provider's Profile
| Full Name | Kelly Marie Prall |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 677 Kidder Street, Wilkes-barre Twp., Pennsylvania |
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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 Marie Prall graduated from nursing school in 2013
NPI Data:
- NPI Number: 1336576305
- Provider Enumeration Date: 10/04/2013
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961632120
- Enrollment ID: I20140308000322
Medical Identifiers
Medical identifiers for Kelly Marie Prall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336576305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | OA003966 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA056199 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ophelia Medical Group Fl Pa | 7810398534 | 76 |
| Ophelia Medical Group Nj Pc | 0547657397 | 5 |
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 Marie Prall 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 Marie Prall, PA-C
677 Kidder Street,
Wilkes-barre Twp., PA 18702
Ph: (570) 825-2046 | Kelly Marie Prall, PA-C
677 Kidder Street,
Wilkes-barre Twp., PA 18702
Ph: (570) 825-2046 |
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