Dr Jacqueline Kelly, MD in Austin, TX - General Practice

Dr Jacqueline Kelly, MD is a General Practice physician based in Austin, Texas. Dr Jacqueline Kelly is licensed to practice in Texas (license number F6266) and her current practice location is 300 E 8th St, G-159, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at (512) 587-0065.

NPI number for Dr Jacqueline Kelly is 1699774505 and her current mailing address is 904 W 30th St, Austin, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699774505.

Contact Information

	Dr Jacqueline Kelly, MD
	300 E 8th St, G-159, Austin, TX 78701-3233
	(512) 587-0065
	(512) 469-7854

Physician's Profile

Full Name	Dr Jacqueline Kelly
Gender	Female
Speciality	General Practice
Location	300 E 8th St, Austin, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1699774505
Provider Enumeration Date: 07/21/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jacqueline Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699774505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	F6266 (Texas)	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. Dr Jacqueline Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacqueline Kelly, MD 904 W 30th St, Austin, TX 78705-2104 Ph: (512) 587-0065	Dr Jacqueline Kelly, MD 300 E 8th St, G-159, Austin, TX 78701-3233 Ph: (512) 587-0065

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Susan Callaway, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 3828 S 1st St, Austin, TX 78704 Phone: 512-443-1311 Fax: 512-445-6457
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Dr Jacqueline Kelly, MD - General Practice in Austin, TX