Kelley Mamede, PA - Medicare Physician Assistant in Marion, OH

Kelley Mamede, PA is a medicare enrolled "Physician Assistant" in Marion, Ohio. Her current practice location is 402 S State St, Marion, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 387-0650.

Kelley Mamede 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 1003456286.

Contact Information

Kelley Mamede, PA
402 S State St,
Marion, OH 43302-5000
(740) 387-0650
Not Available



Provider's Profile

Full NameKelley Mamede
GenderFemale
SpecialityPhysician Assistant
Location402 S State St, Marion, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003456286
  • Provider Enumeration Date: 01/15/2020
  • Last Update Date: 08/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254769656
  • Enrollment ID: I20210816001839

Medical Identifiers

Medical identifiers for Kelley Mamede such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003456286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Kelley Mamede 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
Kelley Mamede, PA
70 Bur Reed Rd,
Delaware, OH 43015-3676

Ph: (330) 620-9432
Kelley Mamede, PA
402 S State St,
Marion, OH 43302-5000

Ph: (740) 387-0650

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› Verified 2 days ago


Physician Assistant Nurses in Marion, OH

Mrs. Karen Pauley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 402 S State St, Marion, OH 43302
Phone: 740-387-4115    Fax: 740-387-9210
Amanda I Gandert, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1069 Delaware Ave, Suite 205, Marion, OH 43302
Phone: 740-387-4578    
Jill R Thomas, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302
Phone: 740-383-8700    Fax: 740-383-8517
Mrs. Haley Elise Gravely, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1063 Harding Memorial Pkwy Ste A, Marion, OH 43302
Phone: 740-244-8550    Fax: 740-751-4584
Franklin R Millard, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302
Phone: 740-383-8700    
Danielle Hamzeloo, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1138 Independence Ave, Marion, OH 43302
Phone: 740-383-7953    

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