Dr Daniel Kelley, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fort Worth, Texas. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Century Integrated Partners, Inc and his current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 702-8840.
Dr Daniel Kelley is licensed to practice in * (Not Available) (license number ) 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 1649732538.
Physician's Profile
| Full Name | Dr Daniel Kelley |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Experience | 6 Years |
|---|
| Location | 1500 S Main St, Fort Worth, Texas |
|---|
| 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 Daniel Kelley attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2019
NPI Data:
- NPI Number: 1649732538
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082005541
- Enrollment ID: I20211217001128
Medical Identifiers
Medical identifiers for Dr Daniel Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649732538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | T2649 (Texas) | 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 |
| Century Integrated Partners, Inc | 6406151703 | 288 |
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 Daniel Kelley allows following entities to bill medicare on his behalf.
| Entity Name | Integrative Emergency Services Physician Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
|---|
| Entity Name | Century Integrated Partners, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
|---|
| Entity Name | Ies Central Texas Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
|---|
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 Daniel 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 Daniel Kelley, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: () - | Dr Daniel Kelley, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-8840 |
Reviews and Comments