Mr Jonathan D Kelly, PAC in Farmington, NM - Medicare Physician Assistant

Mr Jonathan D Kelly, PAC is a medicare enrolled "Physician Assistant - Medical" in Farmington, New Mexico. His current practice location is 622 W Maple St Ste B, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 327-4867.

Mr Jonathan D Kelly is licensed to practice in New Mexico (license number PA054) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053529446.

Contact Information

	Mr Jonathan D Kelly, PAC
	622 W Maple St Ste B, Farmington, NM 87401-6589
	(505) 327-4867
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jonathan D Kelly
Gender	Male
Speciality	Physician Assistant - Medical
Location	622 W Maple St Ste B, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053529446
Provider Enumeration Date: 05/18/2007
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 7517083926
Enrollment ID: I20100922001252

Medical Identifiers

Medical identifiers for Mr Jonathan D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053529446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA054 (New Mexico)	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. Mr Jonathan D Kelly 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
Mr Jonathan D Kelly, PAC 622 W Maple St Ste B, Farmington, NM 87401-6589 Ph: (505) 327-4867	Mr Jonathan D Kelly, PAC 622 W Maple St Ste B, Farmington, NM 87401-6589 Ph: (505) 327-4867

Reviews and Comments

Physician Assistant Nurses in Farmington, NM

Candice Selgado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 622 W Maple St Ste C, Farmington, NM 87401 Phone: 505-327-9694 Fax: 505-327-7524
Jamie Lynn Landry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Meghan Nipper, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 101, Farmington, NM 87401 Phone: 505-609-6595 Fax: 505-599-4633
Molly Patricia Hummel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 Phone: 505-609-6595 Fax: 505-609-6579
Aryn Elizabeth Tuinzing, Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Mr. Derek Thomas Feige, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000

Mr Jonathan D Kelly, PAC - Medicare Physician Assistant in Farmington, NM