Derek Keith Kelly, MD - Medicare Emergency Medicine in Fort Worth, TX

Derek Keith Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. His current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 922-7070.

Derek Keith Kelly is licensed to practice in Texas (license number N1708) 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 1164622007.

Contact Information

Derek Keith Kelly, MD
1400 8th Ave,
Fort Worth, TX 76104-4110
(817) 922-7070
Not Available

Map and Direction




Physician's Profile

Full NameDerek Keith Kelly
GenderMale
SpecialityEmergency Medicine
Location1400 8th Ave, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164622007
  • Provider Enumeration Date: 07/19/2007
  • Last Update Date: 06/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9032242011
  • Enrollment ID: I20100727000981

Medical Identifiers

Medical identifiers for Derek Keith Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164622007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine N1708 (Texas)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. Derek Keith Kelly allows following entities to bill medicare on his behalf.
Entity NameTexas Medicine Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376581900
PECOS PAC ID: 5890688212
Enrollment ID: O20130702000785

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. Derek Keith 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 AddressPractice Location Address
Derek Keith Kelly, MD
1400 8th Ave,
Fort Worth, TX 76104-4110

Ph: (817) 922-7070
Derek Keith Kelly, MD
1400 8th Ave,
Fort Worth, TX 76104-4110

Ph: (817) 922-7070

Reviews and Comments


Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD
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Phone: 214-712-2074    Fax: 214-712-2444
Don Stewart Harper, M.D.
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Dr. Britton Michael Devillier, M.D., M.P.H.
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Medicare: Not Enrolled in Medicare
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Phone: 682-885-4095    Fax: 682-885-7499
Lacey A Mcdaniel, PA-C
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Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
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Phone: 817-639-1000    
Mr. Karim S Jamal, M.D.
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Practice Location: 11801 S. Freeway, Fort Worth, TX 76134
Phone: 817-293-9110    

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.