Elaine D Kelly, PA-C in Blackduck, MN - Physician Assistant

Elaine D Kelly, PA-C is a Physician Assistant - Medical based in Blackduck, Minnesota. Elaine D Kelly is licensed to practice in Minnesota (license number 9428) and her current practice location is 1st Ave W & Margaret St, Blackduck, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 835-5837.

NPI number for Elaine D Kelly is 1306865423 and her current mailing address is 1st Ave W & Margaret St, Blackduck, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306865423.

Contact Information

	Elaine D Kelly, PA-C
	1st Ave W & Margaret St, Blackduck, MN 56630
	(218) 835-5837
	(218) 835-4222

Provider's Profile

Full Name	Elaine D Kelly
Gender	Female
Speciality	Physician Assistant - Medical
Location	1st Ave W & Margaret St, Blackduck, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1306865423
Provider Enumeration Date: 07/19/2006
Last Update Date: 09/12/2008

Medical Identifiers

Medical identifiers for Elaine D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306865423	NPI	-	NPPES
180115500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	9428 (Minnesota)	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. Elaine D 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
Elaine D Kelly, PA-C 1st Ave W & Margaret St, Blackduck, MN 56630 Ph: (218) 835-5837	Elaine D Kelly, PA-C 1st Ave W & Margaret St, Blackduck, MN 56630 Ph: (218) 835-5837

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Elaine D Kelly, PA-C - Physician Assistant in Blackduck, MN