Mrs Kelly Renet Dale, PA - Medicare Physician Assistant in Sandusky, MI

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Mrs Kelly Renet Dale, PA is a medicare enrolled "Physician Assistant - Medical" in Sandusky, Michigan. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pro-health Medical Fp and her current practice location is 416 Woodland Dr, Sandusky, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 202-6022.

Mrs Kelly Renet Dale is licensed to practice in Michigan (license number 5601003127) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952468530.

Contact Information

Mrs Kelly Renet Dale, PA
416 Woodland Dr,
Sandusky, MI 48471-1047
(810) 202-6022
(810) 682-4026

Map and Direction




Provider's Profile

Full NameMrs Kelly Renet Dale
GenderFemale
SpecialityPhysician Assistant
Experience27 Years
Location416 Woodland Dr, Sandusky, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Renet Dale graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1952468530
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476597055
  • Enrollment ID: I20050614001288

Medical Identifiers

Medical identifiers for Mrs Kelly Renet Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952468530NPI-NPPES
5601003127OtherMISTATE LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601003127 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covenant Medical CenterSaginaw, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pro-health Medical Fp00426424074

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. Mrs Kelly Renet Dale 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 AddressPractice Location Address
Mrs Kelly Renet Dale, PA
2690 Germania Rd,
Marlette, MI 48453-8965

Ph: (810) 577-7395		Mrs Kelly Renet Dale, PA
416 Woodland Dr,
Sandusky, MI 48471-1047

Ph: (810) 202-6022

Reviews and Comments


Physician Assistant Nurses in Sandusky, MI

Lori M. Nugent, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Delaware St, Sandusky, MI 48471
Phone: 810-648-9677    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.