Dr Paul C Kelleher, MD in Mystic, CT - Medicare Preventive Medicine

Dr Paul C Kelleher, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Mystic, Connecticut. His current practice location is 169 High Meadow Ln, Mystic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 572-0441.

Dr Paul C Kelleher is licensed to practice in Florida (license number ME58660) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710957261.

Contact Information

	Dr Paul C Kelleher, MD
	169 High Meadow Ln, Mystic, CT 06355-1651
	(860) 572-0441
	Not Available

Physician's Profile

Full Name	Dr Paul C Kelleher
Gender	Male
Speciality	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location	169 High Meadow Ln, Mystic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710957261
Provider Enumeration Date: 01/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941485817
Enrollment ID: I20110420000137

Medical Identifiers

Medical identifiers for Dr Paul C Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710957261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0500X	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine	ME58660 (Florida)	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 Paul C Kelleher 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
Dr Paul C Kelleher, MD 169 High Meadow Ln, Mystic, CT 06355-1651 Ph: () -	Dr Paul C Kelleher, MD 169 High Meadow Ln, Mystic, CT 06355-1651 Ph: (860) 572-0441

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Preventive Medicine Doctors in Mystic, CT

Paul Healey Sr.,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 108 Somersett Dr, Mystic, CT 06355
Phone: 860-536-4225

Dr Paul C Kelleher, MD - Medicare Preventive Medicine in Mystic, CT