Kelly Marie Prall, PA-C is a medicare enrolled "Physician Assistant" in Wilkes-barre Twp., Pennsylvania. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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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Location | 677 Kidder Street, Wilkes-barre Twp., Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
363AM0700X | Physician Assistant - Medical | OA003966 (Pennsylvania) | Secondary |
363AM0700X | Physician Assistant - Medical | MA056199 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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 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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