Tabitha Kelly, PA - Medicare Physician Assistant in Abilene, TX

Tabitha Kelly, PA is a medicare enrolled "Physician Assistant - Medical" physician in Abilene, Texas. Her current practice location is 1500 Industrial Blvd Ste 202, Abilene, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 480-2900.

Tabitha Kelly is licensed to practice in * (Not Available) (license number ) 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 1134630528.

Contact Information

Tabitha Kelly, PA
1500 Industrial Blvd Ste 202,
Abilene, TX 79602-8004
(325) 480-2900
Not Available



Physician's Profile

Full NameTabitha Kelly
GenderFemale
SpecialityPhysician Assistant - Medical
Location1500 Industrial Blvd Ste 202, Abilene, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134630528
  • Provider Enumeration Date: 10/12/2017
  • Last Update Date: 07/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426314907
  • Enrollment ID: I20171116001447

Medical Identifiers

Medical identifiers for Tabitha Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134630528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry PA13912 (Texas)Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))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. Tabitha 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 AddressPractice Location Address
Tabitha Kelly, PA
1500 Industrial Blvd Ste 202,
Abilene, TX 79602-8004

Ph: (325) 480-2900
Tabitha Kelly, PA
1500 Industrial Blvd Ste 202,
Abilene, TX 79602-8004

Ph: (325) 480-2900

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