Dr Edward Joseph Kelly Iv, MD in Washington, DC

Dr Edward Joseph Kelly Iv, MD is a medicare enrolled "General Practice" physician in Washington, District Of Columbia. His current practice location is 900 23rd St Nw, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 715-4000.

Dr Edward Joseph Kelly Iv is licensed to practice in Virginia (license number 0101279260) 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 1679134910.

Contact Information

	Dr Edward Joseph Kelly Iv, MD
	900 23rd St Nw, Washington, DC 20037-2342
	(202) 715-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Edward Joseph Kelly Iv
Gender	Male
Speciality	General Practice
Location	900 23rd St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679134910
Provider Enumeration Date: 06/26/2019
Last Update Date: 01/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8022349117
Enrollment ID: I20231009003056

Medical Identifiers

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

Identifier	Type	State	Issuer
1679134910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101279260 (Virginia)	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. Dr Edward Joseph Kelly Iv allows following entities to bill medicare on his behalf.

Entity Name	Integrated Wound Care Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154963056 PECOS PAC ID: 4880026822 Enrollment ID: O20191113002533

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 Edward Joseph Kelly Iv 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 Edward Joseph Kelly Iv, MD 900 23rd St Nw, Washington, DC 20037-2342 Ph: (443) 690-6281	Dr Edward Joseph Kelly Iv, MD 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 715-4000

Reviews and Comments

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Dr Edward Joseph Kelly Iv, MD - Medicare General Practice in Washington, DC