Kelly Johnson Bumgarner, - Medicare Physician Assistant in Dublin, OH

Kelly Johnson Bumgarner, is a medicare enrolled "Physician Assistant - Medical" in Dublin, Ohio. Her current practice location is 5720 Blazer Pkwy, Dublin, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 761-1151.

Kelly Johnson Bumgarner is licensed to practice in Virginia (license number 0110003813) 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 1760754683.

Contact Information

Kelly Johnson Bumgarner,
5720 Blazer Pkwy,
Dublin, OH 43017-3566
(614) 761-1151
Not Available



Provider's Profile

Full NameKelly Johnson Bumgarner
GenderFemale
SpecialityPhysician Assistant - Medical
Location5720 Blazer Pkwy, Dublin, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760754683
  • Provider Enumeration Date: 02/08/2012
  • Last Update Date: 07/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3779743570
  • Enrollment ID: I20130411000220

Medical Identifiers

Medical identifiers for Kelly Johnson Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760754683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110003813 (Virginia)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 Johnson Bumgarner 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 Johnson Bumgarner,
5720 Blazer Pkwy,
Dublin, OH 43017-3566

Ph: (614) 761-1151
Kelly Johnson Bumgarner,
5720 Blazer Pkwy,
Dublin, OH 43017-3566

Ph: (614) 761-1151

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Physician Assistant Nurses in Dublin, OH

Ryan Rushen, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7500 Hospital Dr, Dublin, OH 43016
Phone: 614-544-8000    
Amy L Nutting, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Shawan Falls Dr, Dublin, OH 43017
Phone: 614-764-1711    Fax: 614-889-2652
Emily Ballinger, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7450 Hospital Dr Ste 290, Dublin, OH 43016
Phone: 145-448-1116    Fax: 614-544-8109
Jeffrey William Blitz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7698 Scioto Crossing Blvd, Dublin, OH 43016
Phone: 614-634-1881    
Laura Kessler, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6905 Hospital Dr, Ste 200, Dublin, OH 43016
Phone: 614-544-8150    Fax: 614-544-8151
Mrs. Sarah A. Landis, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Shawan Falls Dr, Dublin, OH 43017
Phone: 614-764-1711    Fax: 614-889-2652
Jeffrey Robert Fisher, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6905 Hospital Dr, Suite 130, Dublin, OH 43016
Phone: 614-923-0300    Fax: 614-923-0400

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