Ms Meredith Page Kelleher, MMSC, PA-C - Medicare Physician Assistant in Atlanta, GA

Ms Meredith Page Kelleher, MMSC, PA-C is a medicare enrolled "Physician Assistant" in Atlanta, Georgia. Her current practice location is 5669 Peachtree Dunwoody Rd Ne, Suite 170, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 252-8377.

Ms Meredith Page Kelleher is licensed to practice in Georgia (license number 04752) 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 1104024496.

Contact Information

Ms Meredith Page Kelleher, MMSC, PA-C
5669 Peachtree Dunwoody Rd Ne, Suite 170,
Atlanta, GA 30342-1786
(404) 252-8377
Not Available



Provider's Profile

Full NameMs Meredith Page Kelleher
GenderFemale
SpecialityPhysician Assistant
Location5669 Peachtree Dunwoody Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104024496
  • Provider Enumeration Date: 07/07/2007
  • Last Update Date: 06/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6305932880
  • Enrollment ID: I20071025000000

Medical Identifiers

Medical identifiers for Ms Meredith Page Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104024496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 04752 (Georgia)Primary
363AM0700XPhysician Assistant - Medical 04752 (Georgia)Secondary

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. Ms Meredith Page Kelleher 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
Ms Meredith Page Kelleher, MMSC, PA-C
1737 Stoney Creek Dr Se,
Atlanta, GA 30316-3675

Ph: (404) 831-5783
Ms Meredith Page Kelleher, MMSC, PA-C
5669 Peachtree Dunwoody Rd Ne, Suite 170,
Atlanta, GA 30342-1786

Ph: (404) 252-8377

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