Mrs Nicole K Kelly, PA in Goshen, NY - Medicare Physician Assistant

Mrs Nicole K Kelly, PA is a medicare enrolled "Physician Assistant" in Goshen, New York. Her current practice location is 30 Hatfield Ln, Ste 109, Goshen, New York. You can reach out to her office (for appointments etc.) via phone at (845) 692-3111.

Mrs Nicole K Kelly is licensed to practice in New York (license number 014253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760787709.

Contact Information

	Mrs Nicole K Kelly, PA
	30 Hatfield Ln, Ste 109, Goshen, NY 10924-6766
	(845) 692-3111
	(845) 294-0118

Map and Direction

Provider's Profile

Full Name	Mrs Nicole K Kelly
Gender	Female
Speciality	Physician Assistant
Location	30 Hatfield Ln, Goshen, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760787709
Provider Enumeration Date: 01/24/2011
Last Update Date: 11/20/2014

Medicare PECOS Information:

PECOS PAC ID: 2567646136
Enrollment ID: I20110405000995

Medical Identifiers

Medical identifiers for Mrs Nicole K Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760787709	NPI	-	NPPES
1095483	Other	NY	CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	014253 (New York)	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. Mrs Nicole K 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
Mrs Nicole K Kelly, PA 2 Coates Dr, Goshen, NY 10924-6758 Ph: (845) 651-1412	Mrs Nicole K Kelly, PA 30 Hatfield Ln, Ste 109, Goshen, NY 10924-6766 Ph: (845) 692-3111

Reviews and Comments

Physician Assistant Nurses in Goshen, NY

Kaitlyn J Buck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2004 Route 17m, Goshen, NY 10924 Phone: 845-294-0661 Fax: 845-818-9646
Ms. Aviva Frommer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 70 Hatfield Ln, Suite 204, Goshen, NY 10924 Phone: 845-291-1260 Fax: 845-294-2312
Madjeanna Brutus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Hatfield Ln Ste 105, Goshen, NY 10924 Phone: 800-859-0085
Nicole Lynne Rybak, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Hatfield Lane, Suite 103 - 104, Goshen, NY 10924 Phone: 845-291-1260
Fabio Collarelli, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Hatfield Ln, Suite 201, Goshen, NY 10924 Phone: 845-294-3446 Fax: 845-294-4171
Kerry Gomulka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Hatfield Ln, Suite 101, Goshen, NY 10924 Phone: 845-294-2733 Fax: 845-294-6486
Mrs. Erica P Celestine, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Coates Dr, Suite 4, Goshen, NY 10924 Phone: 845-294-8831 Fax: 845-294-1180

Mrs Nicole K Kelly, PA - Medicare Physician Assistant in Goshen, NY