Kaylie Nicole Prichodko, PA-C in Anderson, IN - Medicare Physician Assistant

Kaylie Nicole Prichodko, PA-C is a medicare enrolled "Physician Assistant" in Anderson, Indiana. Her current practice location is 1629 Medical Arts Blvd Ste 200, Anderson, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 298-5439.

Kaylie Nicole Prichodko is licensed to practice in Indiana (license number 10001876A) 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 1851788178.

Contact Information

	Kaylie Nicole Prichodko, PA-C
	1629 Medical Arts Blvd Ste 200, Anderson, IN 46011-3454
	(765) 298-5439
	(765) 298-4920

Provider's Profile

Full Name	Kaylie Nicole Prichodko
Gender	Female
Speciality	Physician Assistant
Location	1629 Medical Arts Blvd Ste 200, Anderson, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851788178
Provider Enumeration Date: 04/24/2015
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6709190549
Enrollment ID: I20150806011471

Medical Identifiers

Medical identifiers for Kaylie Nicole Prichodko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851788178	NPI	-	NPPES
P01512454	Other	IN	MEDICARE RAILROAD PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085006233 (Illinois)	Secondary
363A00000X	Physician Assistant	10001876A (Indiana)	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. Kaylie Nicole Prichodko 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
Kaylie Nicole Prichodko, PA-C 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () -	Kaylie Nicole Prichodko, PA-C 1629 Medical Arts Blvd Ste 200, Anderson, IN 46011-3454 Ph: (765) 298-5439

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Physician Assistant Nurses in Anderson, IN

Ms. Amanda Lynn Meredith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-609-6060
Ms. Andrea Jeanne Baer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1629 Medical Arts Blvd Ste 200, Anderson, IN 46011 Phone: 765-298-5439 Fax: 765-298-4920
Megan Bishop, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-646-8439
Michelle Duritsch, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 Medical Arts Blvd Ste 217, Anderson, IN 46011 Phone: 765-298-4470
Rita C Raih, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 520 E 8th St, Anderson, IN 46012 Phone: 765-641-7700 Fax: 765-641-7016
Erin Hacker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 260-407-8000 Fax: 260-407-8004
Leah Vadas, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 765-298-4242

Kaylie Nicole Prichodko, PA-C - Medicare Physician Assistant in Anderson, IN