Dr Alan Dewitt Kennett Kelley, MD in Lynnwood, WA

Dr Alan Dewitt Kennett Kelley, MD is a medicare enrolled "Family Medicine" physician in Lynnwood, Washington. He went to University Of California, Davis School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of Washington and his current practice location is 20200 54th Ave W, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 672-6400.

Dr Alan Dewitt Kennett Kelley is licensed to practice in Washington (license number MD00023665) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558343087.

Contact Information

	Dr Alan Dewitt Kennett Kelley, MD
	20200 54th Ave W, Lynnwood, WA 98036-6318
	(425) 672-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alan Dewitt Kennett Kelley
Gender	Male
Speciality	Family Practice
Experience	41 Years
Location	20200 54th Ave W, Lynnwood, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Alan Dewitt Kennett Kelley attended and graduated from University Of California, Davis School Of Medicine in 1983

NPI Data:

NPI Number: 1558343087
Provider Enumeration Date: 11/18/2005
Last Update Date: 04/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1850205386
Enrollment ID: I20031118000591

Medical Identifiers

Medical identifiers for Dr Alan Dewitt Kennett Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558343087	NPI	-	NPPES
080076957	Other	WA	MEDICARE RAILROAD
KE9116	Other	WA	BLUE SHIELD
104490	Other	WA	LABOR & INDUSTRIES
1016815	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00023665 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Group Health Cooperative Home & Community Services	Seattle, WA	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of Washington	9032022579	1480

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. Dr Alan Dewitt Kennett Kelley allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Dr Alan Dewitt Kennett Kelley 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
Dr Alan Dewitt Kennett Kelley, MD 20200 54th Ave W, Lynnwood, WA 98036-6318 Ph: (425) 672-6400	Dr Alan Dewitt Kennett Kelley, MD 20200 54th Ave W, Lynnwood, WA 98036-6318 Ph: (425) 672-6400

Reviews and Comments

Family Medicine Doctors in Lynnwood, WA

Dr. Derek Steven Sylte, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20200 54th Ave W, Lynnwood, WA 98036 Phone: 425-672-6400
Alan K Wegermann, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20200 54th Ave W, Lynnwood, WA 98036 Phone: 425-672-6400
Stanley D Borish, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19526 64th W, Lynnwood, WA 98036 Phone: 425-774-1685 Fax: 425-670-0713
Dr. Casey Kwon Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18623 Highway 99, Ste 230, Lynnwood, WA 98037 Phone: 425-672-8282 Fax: 425-275-5144
Dr. Jing Jin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4725 196th St Sw, Lynnwood, WA 98036 Phone: 425-640-5115
Tanya I Bryant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6101 200th St Sw, Ste 208, Lynnwood, WA 98036 Phone: 425-775-2066 Fax: 425-775-5306
Phyllis A.m. Hollenbeck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19401 40th Ave W, Suite 100, Lynnwood, WA 98036 Phone: 425-744-7153

Dr Alan Dewitt Kennett Kelley, MD - Medicare Family Practice in Lynnwood, WA