Mr Randall Douglas Kelly, MHS, DMSC, PA-C in Hermiston, OR

Mr Randall Douglas Kelly, MHS, DMSC, PA-C is a medicare enrolled "Physician Assistant" in Hermiston, Oregon. His current practice location is 256 E Hurlburt Ave Ste 117, Hermiston, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 303-3558.

Mr Randall Douglas Kelly is licensed to practice in Oregon (license number PA184529) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922393974.

Contact Information

	Mr Randall Douglas Kelly, MHS, DMSC, PA-C
	256 E Hurlburt Ave Ste 117, Hermiston, OR 97838-2443
	(541) 303-3558
	(509) 593-4644

Map and Direction

Provider's Profile

Full Name	Mr Randall Douglas Kelly
Gender	Male
Speciality
Experience	Years
Location	256 E Hurlburt Ave Ste 117, Hermiston, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Randall Douglas Kelly attended and graduated from in

NPI Data:

NPI Number: 1922393974
Provider Enumeration Date: 06/16/2011
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Randall Douglas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922393974	NPI	-	NPPES
2013576	Medicaid	WA
0281857	Other	WA	LABOR & INDUSTRIES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA184529 (Oregon)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	PA184529 (Oregon)	Secondary
363A00000X	Physician Assistant	PA184529 (Oregon)	Primary
363A00000X	Physician Assistant	PA60205772 (Washington)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	PA60205772 (Washington)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	184529 (Oregon)	Secondary

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 Randall Douglas 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 Randall Douglas Kelly, MHS, DMSC, PA-C 5426 Road 68 Ste D253, Pasco, WA 99301-5268 Ph: (541) 303-3558	Mr Randall Douglas Kelly, MHS, DMSC, PA-C 256 E Hurlburt Ave Ste 117, Hermiston, OR 97838-2443 Ph: (541) 303-3558

Reviews and Comments

Physician Assistant Nurses in Hermiston, OR

Sanyi Yoseph Abdissa, Physician Assistant Medicare: Medicare Enrolled Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5170
Maria Z Holden, Physician Assistant Medicare: Medicare Enrolled Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717
Tiffany Nickerson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5994
Ms. Marissa Elizabeth Lachaga, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5170
Matthew C Marshall, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5994
Sarah Galvez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5170
Mr. Daniel A Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 236 E Newport Ave, Hermiston, OR 97838 Phone: 541-567-1137 Fax: 541-567-2336

Mr Randall Douglas Kelly, MHS, DMSC, PA-C - Medicare in Hermiston, OR