Mr Jonathan D Kelly, PAC - Medicare Physician Assistant in Farmington, NM

Mr Jonathan D Kelly, PAC is a medicare enrolled "Physician Assistant - Medical" in Farmington, New Mexico. His current practice location is 622 W Maple St Ste B, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 327-4867.

Mr Jonathan D Kelly is licensed to practice in New Mexico (license number PA054) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053529446.

Contact Information

Mr Jonathan D Kelly, PAC
622 W Maple St Ste B,
Farmington, NM 87401-6589
(505) 327-4867
Not Available



Provider's Profile

Full NameMr Jonathan D Kelly
GenderMale
SpecialityPhysician Assistant - Medical
Location622 W Maple St Ste B, Farmington, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053529446
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517083926
  • Enrollment ID: I20100922001252

Medical Identifiers

Medical identifiers for Mr Jonathan D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053529446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA054 (New Mexico)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. Mr Jonathan D Kelly 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
Mr Jonathan D Kelly, PAC
622 W Maple St Ste B,
Farmington, NM 87401-6589

Ph: (505) 327-4867
Mr Jonathan D Kelly, PAC
622 W Maple St Ste B,
Farmington, NM 87401-6589

Ph: (505) 327-4867

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› Verified 5 days ago


Physician Assistant Nurses in Farmington, NM

Candice Selgado, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 622 W Maple St Ste C, Farmington, NM 87401
Phone: 505-327-9694    Fax: 505-327-7524
Jamie Lynn Landry,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    
Meghan Nipper, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Schwartz Ave Ste 101, Farmington, NM 87401
Phone: 505-609-6595    Fax: 505-599-4633
Molly Patricia Hummel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401
Phone: 505-609-6595    Fax: 505-609-6579
Aryn Elizabeth Tuinzing,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    
Mr. Derek Thomas Feige, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    

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