Mr Raymond Joseph Kelly, PA-C is a medicare enrolled "Physician Assistant" in East Hills, New York. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Samaritan Medical Services Pc and his current practice location is
2200 Northern Blvd Ste 121, East Hills, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 705-1044.
Mr Raymond Joseph Kelly is licensed to practice in New York (license number 022111) 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 1376038695.
Provider's Profile
| Full Name | Mr Raymond Joseph Kelly |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 2200 Northern Blvd Ste 121, East Hills, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Raymond Joseph Kelly graduated from nursing school in 2018
NPI Data:
- NPI Number: 1376038695
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547676272
- Enrollment ID: I20210304000890
Medical Identifiers
Medical identifiers for Mr Raymond Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376038695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 022111 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samaritan Medical Services Pc | 7012016009 | 276 |
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 Raymond Joseph 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 Raymond Joseph Kelly, PA-C
401 S 8th St,
Lindenhurst, NY 11757-4614
Ph: (631) 805-1462 | Mr Raymond Joseph Kelly, PA-C
2200 Northern Blvd Ste 121,
East Hills, NY 11548-1220
Ph: (516) 705-1044 |
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