Mr Patrick James Kelly, DDS in Lincoln Park, MI

Mr Patrick James Kelly, DDS is a medicare enrolled "Dentist" provider in Lincoln Park, Michigan. His current practice location is 4009 Fort St, Lincoln Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 928-8555.

Mr Patrick James Kelly is licensed to practice in Michigan (license number 2901016290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629149372.

Contact Information

	Mr Patrick James Kelly, DDS
	4009 Fort St, Lincoln Park, MI 48146-4110
	(313) 928-8555
	(313) 928-1399

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Patrick James Kelly
Gender	Male
Speciality	Dentist
Location	4009 Fort St, Lincoln Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629149372
Provider Enumeration Date: 11/13/2006
Last Update Date: 03/22/2017

Medicare PECOS Information:

PECOS PAC ID: 6800112723
Enrollment ID: I20170315001222

Medical Identifiers

Medical identifiers for Mr Patrick James Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629149372	NPI	-	NPPES
3334958	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901016290 (Michigan)	Primary

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. Mr Patrick James Kelly allows following entities to bill medicare on his behalf.

Entity Name	Patrick J Kelly Dds , P.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194081273 PECOS PAC ID: 0042511297 Enrollment ID: O20170315001236

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. Mr Patrick James 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
Mr Patrick James Kelly, DDS 4009 Fort St, Lincoln Park, MI 48146-4110 Ph: (313) 928-8555	Mr Patrick James Kelly, DDS 4009 Fort St, Lincoln Park, MI 48146-4110 Ph: (313) 928-8555

Reviews and Comments

Dentist in Lincoln Park, MI

Dr. Waseem Nidal Makki, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3257 Fort St, Lincoln Park, MI 48146 Phone: 313-383-2270
Assia Mouabbi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1193 Southfield Rd, Lincoln Park, MI 48146 Phone: 313-388-1800
Dr. Michael A Izzo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1310 Warwick Ave, Lincoln Park, MI 48146 Phone: 313-386-7660 Fax: 313-386-8980
Dr. Thomas Michael Collins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1359 Champaign, Lincoln Park, MI 48146 Phone: 313-386-9660 Fax: 313-386-5515
Dr. Theodore Mark Healy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1359 Champaign, Lincoln Park, MI 48146 Phone: 313-386-9660 Fax: 313-386-5515
Dr. Anthony Wayne Stines, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3577 Fort St, Lincoln Park, MI 48146 Phone: 313-388-0103 Fax: 313-388-3219
Dr. Matthew Michael Artley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1359 Champaign, Lincoln Park, MI 48146 Phone: 313-386-9660 Fax: 313-386-5515

Mr Patrick James Kelly, DDS - Medicare Dentist in Lincoln Park, MI