Mrs Kelly R Richardson, PA-C - Medicare Physician Assistant in Elizabethtown, KY

Mrs Kelly R Richardson, PA-C is a medicare enrolled "Physician Assistant" in Elizabethtown, Kentucky. Her current practice location is 914 N Dixie Ave, Suite 304, Elizabethtown, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 769-1049.

Mrs Kelly R Richardson is licensed to practice in Kentucky (license number PA816) 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 1225038086.

Contact Information

Mrs Kelly R Richardson, PA-C
914 N Dixie Ave, Suite 304,
Elizabethtown, KY 42701-2520
(270) 769-1049
(270) 735-1978



Provider's Profile

Full NameMrs Kelly R Richardson
GenderFemale
SpecialityPhysician Assistant
Location914 N Dixie Ave, Elizabethtown, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225038086
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 06/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8628061546
  • Enrollment ID: I20040406001566

Medical Identifiers

Medical identifiers for Mrs Kelly R Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225038086NPI-NPPES
95004131MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA816 (Kentucky)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. Mrs Kelly R Richardson 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
Mrs Kelly R Richardson, PA-C
914 N Dixie Ave, Suite 304,
Elizabethtown, KY 42701-2520

Ph: (270) 769-1049
Mrs Kelly R Richardson, PA-C
914 N Dixie Ave, Suite 304,
Elizabethtown, KY 42701-2520

Ph: (270) 769-1049

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Physician Assistant Nurses in Elizabethtown, KY

Abigail Hague Patterson, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1005 Deerbourne Ct, Elizabethtown, KY 42701
Phone: 270-317-0527    
Kelly Hart, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 103 Financial Drive, Suite 100, Elizabethtown, KY 42701
Phone: 270-769-0110    Fax: 270-765-6953
Mary Alice Disselkamp, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2407 Ring Rd Ste 108, Elizabethtown, KY 42701
Phone: 270-706-5787    Fax: 270-706-5788
Bevan Burch Evans, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701
Phone: 877-783-6257    
Mrs. Carla Renee Fray, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Financial Pl Ste 104, Elizabethtown, KY 42701
Phone: 270-765-5127    Fax: 270-765-5337
Mr. Brandon Chase Wampler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2412 Ring Rd Ste 200, Elizabethtown, KY 42701
Phone: 270-765-5926    Fax: 270-763-0051
Mr. Edward F Sorace, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Ring Rd, Workwell, Elizabethtown, KY 42701
Phone: 270-706-5621    Fax: 270-706-5329

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