Charles Kelly, DO in Fulton, MS - Medicare Family Practice

Charles Kelly, DO is a medicare enrolled "Family Medicine" physician in Fulton, Mississippi. He went to West Virginia School Of Osteopathic Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Mississippi Medical Clinics Inc and his current practice location is 1 Medical Park Dr, Fulton, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 862-5200.

Charles Kelly is licensed to practice in Mississippi (license number 15058) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104895267.

Contact Information

	Charles Kelly, DO
	1 Medical Park Dr, Fulton, MS 38843-9001
	(662) 862-5200
	(662) 862-5297

Map and Direction

Physician's Profile

Full Name	Charles Kelly
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	1 Medical Park Dr, Fulton, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Kelly attended and graduated from West Virginia School Of Osteopathic Medicine in 1993

NPI Data:

NPI Number: 1104895267
Provider Enumeration Date: 03/14/2006
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID: 2163550377
Enrollment ID: I20100510000332

Medical Identifiers

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

Identifier	Type	State	Issuer
1104895267	NPI	-	NPPES
00117294	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	15058 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
Kindred At Home	Tupelo, MS	Home health agency
North Mississippi Medical Ctr	Tupelo, MS	Hospice
North Mississippi Medical Center	Tupelo, MS	Hospital
North Mississippi Medical Center-gilmore Amory	Amory, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Mississippi Medical Clinics Inc	6103736665	113

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Kelly allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

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. Charles 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
Charles Kelly, DO 1 Medical Park Dr, Fulton, MS 38843-9001 Ph: (662) 862-5200	Charles Kelly, DO 1 Medical Park Dr, Fulton, MS 38843-9001 Ph: (662) 862-5200

Reviews and Comments

Family Medicine Doctors in Fulton, MS

Dr. Benton Ernest Kilman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297
Dr. Michael George Howell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 204 Wheeler Dr, Fulton, MS 38843 Phone: 662-862-2025 Fax: 662-862-2026
Dr. Shelli I Coleman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 302 Hospital Rd, Fulton, MS 38843 Phone: 662-862-7047 Fax: 662-862-7053
Raymond Rudolph Arriola, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297
Grayden Tubb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297
Kathryn Pastrell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297

Charles Kelly, DO - Medicare Family Practice in Fulton, MS