Dr Derek Joseph Kelly, MD in Evanston, IL

Dr Derek Joseph Kelly, MD is a medicare enrolled "Family Medicine" physician in Evanston, Illinois. He graduated from medical school in 1978 and has 48 years of diverse experience with area of expertise as Family Practice. His current practice location is 800 Austin St Ste 157, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 293-3510.

Dr Derek Joseph Kelly is licensed to practice in Illinois (license number 036063365) 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 1407989106.

Contact Information

	Dr Derek Joseph Kelly, MD
	800 Austin St Ste 157, Evanston, IL 60202-3452
	(773) 293-3510
	(773) 293-3514

Map and Direction

Physician's Profile

Full Name	Dr Derek Joseph Kelly
Gender	Male
Speciality	Family Practice
Experience	48 Years
Location	800 Austin St Ste 157, Evanston, Illinois
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 Derek Joseph Kelly graduated from medical school in 1978

NPI Data:

NPI Number: 1407989106
Provider Enumeration Date: 03/13/2007
Last Update Date: 01/29/2026

Medicare PECOS Information:

PECOS PAC ID: 9436062080
Enrollment ID: I20120723000409

Medical Identifiers

Medical identifiers for Dr Derek Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407989106	NPI	-	NPPES
0031600421	Other	IL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036063365 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish Covenant Hospital	Chicago, IL	Hospital
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Presence Saint Francis Hospital	Evanston, IL	Hospital
Amita Health Resurrection Medical Center	Chicago, IL	Hospital

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 Derek Joseph Kelly allows following entities to bill medicare on his behalf.

Entity Name	Sauganash Health Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487843496 PECOS PAC ID: 6800052747 Enrollment ID: O20120723000374

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 Derek Joseph 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 Derek Joseph Kelly, MD 800 Austin St Ste 157, Evanston, IL 60202-3452 Ph: (773) 283-3510	Dr Derek Joseph Kelly, MD 800 Austin St Ste 157, Evanston, IL 60202-3452 Ph: (773) 293-3510

Reviews and Comments

Family Medicine Doctors in Evanston, IL

Isra Hasnain, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-666-3494
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 633 Emerson St, Evanston, IL 60208 Phone: 847-491-8100 Fax: 847-491-5919
Stephanie Janae Van Buren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 847-666-3494
Dr. Elizabeth Feldman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 312-666-3494
Eric O Fernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Davis St, Evanston, IL 60201 Phone: 847-982-6710
Ann Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Angelika Joanna Kwak, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 773-834-9852

Dr Derek Joseph Kelly, MD - Medicare Family Practice in Evanston, IL