Brooke K Kelly, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Jamestown, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1995 and has 29 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Upmc Chautauqua At Wca and her current practice location is
207 Foote Ave, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 664-7558.
Brooke K Kelly is licensed to practice in New York (license number 206222) 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 1558313999.
Physician's Profile
| Full Name | Brooke K Kelly |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 29 Years |
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| Location | 207 Foote Ave, Jamestown, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brooke K Kelly attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1995
NPI Data:
- NPI Number: 1558313999
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799721916
- Enrollment ID: I20050701000145
Medical Identifiers
Medical identifiers for Brooke K Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558313999 | NPI | - | NPPES |
| 01933522 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 206222 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Upmc Chautauqua At Wca | 4385630342 | 19 |
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. Brooke K Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Upmc Chautauqua At Wca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295033298
PECOS PAC ID: 4385630342
Enrollment ID: O20040423000846 |
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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. Brooke K 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 |
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Brooke K Kelly, DO
207 Foote Ave,
Jamestown, NY 14701-7077
Ph: (716) 664-7558 | Brooke K Kelly, DO
207 Foote Ave,
Jamestown, NY 14701-7077
Ph: (716) 664-7558 |
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