Kelly O'connor, PA-C - Medicare Physician Assistant in Mentor, OH

Kelly O'connor, PA-C is a medicare enrolled "Physician Assistant" in Mentor, Ohio. Her current practice location is 7232 Justin Way, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 578-8200.

Kelly O'connor is licensed to practice in Ohio (license number 50.004693RX) 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 1841534336.

Contact Information

Kelly O'connor, PA-C
7232 Justin Way,
Mentor, OH 44060-4881
(440) 578-8200
Not Available



Provider's Profile

Full NameKelly O'connor
GenderFemale
SpecialityPhysician Assistant
Location7232 Justin Way, Mentor, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841534336
  • Provider Enumeration Date: 11/21/2012
  • Last Update Date: 02/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375764848
  • Enrollment ID: I20190913001464

Medical Identifiers

Medical identifiers for Kelly O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841534336NPI-NPPES
0186430MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant OA002943 (Pennsylvania)Secondary
363A00000XPhysician Assistant MA005820 (Pennsylvania)Secondary
363A00000XPhysician Assistant 50.004693RX (Ohio)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. Kelly O'connor 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
Kelly O'connor, PA-C
7232 Justin Way,
Mentor, OH 44060-4881

Ph: (440) 578-8200
Kelly O'connor, PA-C
7232 Justin Way,
Mentor, OH 44060-4881

Ph: (440) 578-8200

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Physician Assistant Nurses in Mentor, OH

Victoria Celeste Radel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8655 Market St Ste 200, Mentor, OH 44060
Phone: 440-255-7938    
Mrs. Adrienne Marie Colabuno, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9485 Mentor Ave, Mentor, OH 44060
Phone: 440-205-5716    
Kelley L. Pastor, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9220 Mentor Ave, Mentor, OH 44060
Phone: 440-354-9924    Fax: 877-242-9583
Zachary Knoeferl, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9110 Mentor Ave Unit 9b, Mentor, OH 44060
Phone: 440-701-8030    
Lisa M Nedley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Avenue, Suite 210, Mentor, OH 44060
Phone: 440-255-5571    Fax: 440-205-5548
Christina Marie Harris Stehouwer, PA-C, MPH
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7232 Justin Way, Mentor, OH 44060
Phone: 440-578-8200    
Clay Ellenwood, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7232 Justin Way, Mentor, OH 44060
Phone: 440-578-8200    

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