Kelly Dyess, DO - Medicare Emergency Medicine in Jacksonville, FL

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Kelly Dyess, DO is a medicare enrolled "Emergency Medicine" physician in Jacksonville, Florida. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Emergency Coverage Corp, Putnam Emergency Physicians Pllc and her current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Kelly Dyess is licensed to practice in Georgia (license number OS9198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538276795.

Contact Information

Kelly Dyess, DO
1 Shircliff Way,
Jacksonville, FL 32886-3026
(904) 308-7300
(904) 346-0113

Map and Direction




Physician's Profile

Full NameKelly Dyess
GenderFemale
SpecialityEmergency Medicine
Experience22 Years
Location1 Shircliff Way, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Dyess graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1538276795
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961401294
  • Enrollment ID: I20200205002851

Medical Identifiers

Medical identifiers for Kelly Dyess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538276795NPI-NPPES
276257900MedicaidFL
P00346860OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS9198 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital
Cumberland Medical CenterCrossville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Coverage Corp3072412592364
Putnam Emergency Physicians Pllc377994648826

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. Kelly Dyess allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NamePutnam Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891475752
PECOS PAC ID: 3779946488
Enrollment ID: O20230829001399

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. Kelly Dyess 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
Kelly Dyess, DO
Po Box 100186,
Gainesville, FL 32610-3026

Ph: (352) 265-5911		Kelly Dyess, DO
1 Shircliff Way,
Jacksonville, FL 32886-3026

Ph: (904) 308-7300

Reviews and Comments


Emergency Medicine Doctors in Jacksonville, FL

Andrew Lim, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1504 Dunsford Rd, Jacksonville, FL 32207
Phone: 904-253-3734    
Jennifer L. Mauzy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4201 Belfort Rd, Jacksonville, FL 32216
Phone: 904-296-3885    
Max T Billingsley, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204
Phone: 904-346-5426    Fax: 904-346-0113
Kenneth Aung-din, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3625 University Blvd S, Jacksonville, FL 32216
Phone: 904-399-6811    Fax: 904-346-0113
Hannah Thomason Fox, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Daniel R Eraso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-6340    Fax: 904-244-4508
Paul D Lucey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 904-308-7300    Fax: 904-346-0113

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.