Colleen Kelley Yoon, PA - Medicare Physician Assistant in Omaha, NE

Colleen Kelley Yoon, PA is a medicare enrolled "Physician Assistant" physician in Omaha, Nebraska. Her current practice location is 16901 Lakeside Hills Ct, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 717-8000.

Colleen Kelley Yoon is licensed to practice in Nebraska (license number 1750) 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 1336440585.

Contact Information

Colleen Kelley Yoon, PA
16901 Lakeside Hills Ct,
Omaha, NE 68130-2318
(402) 717-8000
(937) 619-4150



Physician's Profile

Full NameColleen Kelley Yoon
GenderFemale
SpecialityPhysician Assistant
Location16901 Lakeside Hills Ct, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336440585
  • Provider Enumeration Date: 11/04/2010
  • Last Update Date: 04/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0143417329
  • Enrollment ID: I20101214000781

Medical Identifiers

Medical identifiers for Colleen Kelley Yoon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336440585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2010035961 (Missouri)Secondary
363A00000XPhysician Assistant 2018015950 (Missouri)Secondary
363A00000XPhysician Assistant 2010035961 (Missouri)Secondary
363A00000XPhysician Assistant 1750 (Nebraska)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. Colleen Kelley Yoon 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
Colleen Kelley Yoon, PA
4750 Hempstead Station Dr,
Kettering, OH 45429-5164

Ph: (800) 875-0136
Colleen Kelley Yoon, PA
16901 Lakeside Hills Ct,
Omaha, NE 68130-2318

Ph: (402) 717-8000

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