Miss Kelly Jordan Spangler, PA-C is a medicare enrolled "Physician Assistant - Medical" in Windber, Pennsylvania. Her current practice location is
1599 Somerset Ave, Windber, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 467-5600.
Miss Kelly Jordan Spangler 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 1093128753.
Provider's Profile
| Full Name | Miss Kelly Jordan Spangler |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 1599 Somerset Ave, Windber, 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: 1093128753
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 10/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365661691
- Enrollment ID: I20140918000025
Medical Identifiers
Medical identifiers for Miss Kelly Jordan Spangler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093128753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (* (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. Miss Kelly Jordan Spangler 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 |
Miss Kelly Jordan Spangler, PA-C 1599 Somerset Ave, Ste 1, Windber, PA 15963-1745 Ph: (814) 341-1059 | Miss Kelly Jordan Spangler, PA-C 1599 Somerset Ave, Windber, PA 15963-1745 Ph: (814) 467-5600 |
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