Kelsey Dawn Mathis, PA-C in South Charleston, WV - Medicare Physician Assistant

Kelsey Dawn Mathis, PA-C is a medicare enrolled "Physician Assistant - Medical" in South Charleston, West Virginia. Her current practice location is 401 Division St Ste 306, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 766-4300.

Kelsey Dawn Mathis is licensed to practice in West Virginia (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 1215491105.

Contact Information

	Kelsey Dawn Mathis, PA-C
	401 Division St Ste 306, South Charleston, WV 25309-1455
	(304) 766-4300
	Not Available

Provider's Profile

Full Name	Kelsey Dawn Mathis
Gender	Female
Speciality	Physician Assistant - Medical
Location	401 Division St Ste 306, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215491105
Provider Enumeration Date: 01/25/2019
Last Update Date: 01/25/2019

Medicare PECOS Information:

PECOS PAC ID: 2668823832
Enrollment ID: I20240111004420

Medical Identifiers

Medical identifiers for Kelsey Dawn Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215491105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(West 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. Kelsey Dawn Mathis 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
Kelsey Dawn Mathis, PA-C 401 Division St Ste 306, South Charleston, WV 25309-1455 Ph: () -	Kelsey Dawn Mathis, PA-C 401 Division St Ste 306, South Charleston, WV 25309-1455 Ph: (304) 766-4300

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Physician Assistant Nurses in South Charleston, WV

Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530
Mrs. Lori Jane Rainey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612
Natalie R Beeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849

Kelsey Dawn Mathis, PA-C - Medicare Physician Assistant in South Charleston, WV