Noreen Bawn Kelly, PT in Southold, NY - Medicare Physical Therapist Provider

Noreen Bawn Kelly, PT is a medicare enrolled "Physical Therapist" provider in Southold, New York. Her current practice location is 375 Kenneys Rd, Southold, New York. You can reach out to her office (for appointments etc.) via phone at (631) 245-2813.

Noreen Bawn Kelly is licensed to practice in New York (license number 012137-1) 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 1356626501.

Contact Information

	Noreen Bawn Kelly, PT
	375 Kenneys Rd, Southold, NY 11971-2447
	(631) 245-2813
	Not Available

Healthcare Provider's Profile

Full Name	Noreen Bawn Kelly
Gender	Female
Speciality	Physical Therapist
Location	375 Kenneys Rd, Southold, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356626501
Provider Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011

Medicare PECOS Information:

PECOS PAC ID: 1658648589
Enrollment ID: I20170525001026

Medical Identifiers

Medical identifiers for Noreen Bawn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356626501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	012137-1 (New York)	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. Noreen Bawn 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 Address	Practice Location Address
Noreen Bawn Kelly, PT 375 Kenneys Rd, Southold, NY 11971-2447 Ph: (631) 245-2813	Noreen Bawn Kelly, PT 375 Kenneys Rd, Southold, NY 11971-2447 Ph: (631) 245-2813

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Physical Therapist in Southold, NY

Madison Gore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 County Road 48, Southold, NY 11971 Phone: 631-765-9389
Ms. Lynn A Cataldo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-765-3620 Fax: 631-765-0013
Gary A. Despres Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 53345 Main Road, Building 8 Unit 1, Southold, NY 11971 Phone: 631-806-2179
Karen Christine Mitchell, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 775 Hummel Ave, Southold, NY 11971 Phone: 631-765-8417
Mary E Whyard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Oriole Dr, Southold, NY 11971 Phone: 516-658-7215
Mr. Daniel R Charlebois, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 North Rd, Southold, NY 11971 Phone: 631-765-9389 Fax: 631-765-9369

Noreen Bawn Kelly, PT - Medicare Physical Therapist in Southold, NY