Courtney Kelly, DMD - in Jbsa Lackland, TX

Courtney Kelly, DMD is a Student In An Organized Health Care Education/training Program based in Jbsa Lackland, Texas. Courtney Kelly is licensed to practice in * (Not Available) (license number ) and her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. She can be reached at her office (for appointments etc.) via phone at (609) 230-3674.

NPI number for Courtney Kelly is 1235759077 and her current mailing address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235759077.

Contact Information

Courtney Kelly, DMD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
(609) 230-3674
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCourtney Kelly
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235759077
  • Provider Enumeration Date: 04/22/2020
  • Last Update Date: 08/03/2023

Medical Identifiers

Medical identifiers for Courtney Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235759077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 11839022-9922 (Utah)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Courtney 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 AddressPractice Location Address
Courtney Kelly, DMD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-0680
Courtney Kelly, DMD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638

Ph: (609) 230-3674

Reviews and Comments



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.