Dr Michael Earl Kelly, DO in Watervliet, MI

Dr Michael Earl Kelly, DO is a Family Medicine physician based in Watervliet, Michigan. Dr Michael Earl Kelly is licensed to practice in Michigan (license number 5101009399) and his current practice location is 420 Medical Park Dr, Watervliet, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 463-3600.

NPI number for Dr Michael Earl Kelly is 1164474631 and his current mailing address is 420 Medical Park Dr, Watervliet, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164474631.

Contact Information

	Dr Michael Earl Kelly, DO
	420 Medical Park Dr, Watervliet, MI 49098-9237
	(269) 463-3600
	(269) 463-5356

Map and Direction

Physician's Profile

Full Name	Dr Michael Earl Kelly
Gender	Male
Speciality	Family Medicine
Location	420 Medical Park Dr, Watervliet, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1164474631
Provider Enumeration Date: 05/16/2006
Last Update Date: 09/29/2011

Medical Identifiers

Medical identifiers for Dr Michael Earl Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164474631	NPI	-	NPPES
93384289	Other	MI	RR MEDICARE
11-5193581 HARTFORD	Medicaid	MI
3025952-11	Other	MI	MEDICAID - THREE RIVERS
4155933-11	Other	MI	MEDICAID - PIPP
MK009399	Other	MI	BCBS IND LIC #
11-4924242 COLOMA	Medicaid	MI
5391075	Other	MI	BCBS IND PIN #
G56008112	Other	MI	MEDICARE - THREE RIVERS
93384289	Other	MI	RR MEDICARE - PIPP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101009399 (Michigan)	Primary
207P00000X	Emergency Medicine	5101009399 (Michigan)	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. Dr Michael Earl Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael Earl Kelly, DO 420 Medical Park Dr, Watervliet, MI 49098-9237 Ph: (269) 463-3600	Dr Michael Earl Kelly, DO 420 Medical Park Dr, Watervliet, MI 49098-9237 Ph: (269) 463-3600

Reviews and Comments

Family Medicine Doctors in Watervliet, MI

Dr. Alfonso Generalao Llanto, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3973 M140, Watervliet, MI 49098 Phone: 269-463-5711 Fax: 269-463-2885
Dr. Araceli Cempron Mesiona-brucal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8683 Red Arrow Hwy, Watervliet, MI 49098 Phone: 269-463-3375 Fax: 269-463-3487

Dr Michael Earl Kelly, DO - Family Medicine in Watervliet, MI