| Mr Andrew John Kelly, PA-C | |
|
824 Main Street, Suite 100, Phoenixville, PA 19460 | |
| (610) 935-7300 | |
| Not Available |
| Full Name | Mr Andrew John Kelly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 824 Main Street, Suite 100, Phoenixville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073625018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA002419L (Pennsylvania) | Primary |
| Entity Name | Clinical Care Associates of the University of Pennsylvania Health. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
| Entity Name | Penn Medicine-pma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144895970 PECOS PAC ID: 6507269370 Enrollment ID: O20210730002445 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew John Kelly, PA-C 824 Main Street, Suite 100, Phoenixville, PA 19460 Ph: (610) 935-7300 | Mr Andrew John Kelly, PA-C 824 Main Street, Suite 100, Phoenixville, PA 19460 Ph: (610) 935-7300 |
Angela M Baker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1021 Winding River Ln, Phoenixville, PA 19460 Phone: 610-751-3195 |
Bryan Wai Yong Tang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main St Ste 100, Phoenixville, PA 19460 Phone: 610-935-7300 |
Gabrielle Krekstein, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 799 Gay St, Phoenixville, PA 19460 Phone: 610-935-0644 Fax: 610-935-7757 |
Ashley Lucille Dahl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 507 Kimberton Rd, Phoenixville, PA 19460 Phone: 610-243-9117 |
Thomas D. Giovinazzo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main St, Ste. 302, Phoenixville, PA 19460 Phone: 610-983-1561 Fax: 610-983-1569 |
Lindsay R. Anonich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 140 Nutt Rd, Phoenixville, PA 19460 Phone: 800-528-0006 Fax: 732-349-6030 |
Kassandra Rajha, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main Street, Phoenixville, PA 19460 Phone: 610-703-9987 |