Dr Christina Debaun Kelly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Phoenix, Arizona. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is
2601 E Roosevelt St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 344-5956.
Dr Christina Debaun Kelly is licensed to practice in * (Not Available) (license number ) 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 1184010639.
Physician's Profile
| Full Name | Dr Christina Debaun Kelly |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 9 Years |
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| Location | 2601 E Roosevelt St, Phoenix, Arizona |
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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:
- Dr Christina Debaun Kelly graduated from medical school in 2015
NPI Data:
- NPI Number: 1184010639
- Provider Enumeration Date: 04/11/2015
- Last Update Date: 06/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274889217
- Enrollment ID: I20180706000273
Medical Identifiers
Medical identifiers for Dr Christina Debaun Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184010639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 01080214A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
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 Christina Debaun Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556 |
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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. Dr Christina Debaun 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 |
|---|
Dr Christina Debaun Kelly, MD
8800 N Valley Oak Dr,
Prescott, AZ 86305-7720
Ph: (972) 310-9712 | Dr Christina Debaun Kelly, MD
2601 E Roosevelt St,
Phoenix, AZ 85008
Ph: (602) 344-5956 |
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