Dr James Thomas Kelly, DO - Medicare Family Medicine in Port Jefferson, NY

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Dr James Thomas Kelly, DO is a medicare enrolled "Family Medicine" physician in Port Jefferson, New York. His current practice location is 70 N Country Rd, Suite 105, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 642-0609.

Dr James Thomas Kelly is licensed to practice in New York (license number 173786) 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 1508943317.

Contact Information

Dr James Thomas Kelly, DO
70 N Country Rd, Suite 105,
Port Jefferson, NY 11777-2161
(631) 642-0609
(631) 642-0588

Map and Direction




Physician's Profile

Full NameDr James Thomas Kelly
GenderMale
SpecialityFamily Medicine
Location70 N Country Rd, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508943317
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 11/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9133254675
  • Enrollment ID: I20100323000140

Medical Identifiers

Medical identifiers for Dr James Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508943317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 173786 (New York)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 James Thomas Kelly allows following entities to bill medicare on his behalf.
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 James Thomas 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 AddressPractice Location Address
Dr James Thomas Kelly, DO
70 N Country Rd, Suite 105,
Port Jefferson, NY 11777-2161

Ph: (631) 642-0609		Dr James Thomas Kelly, DO
70 N Country Rd, Suite 105,
Port Jefferson, NY 11777-2161

Ph: (631) 642-0609

Reviews and Comments


Family Medicine Doctors in Port Jefferson, NY

Michelle Marilyn Craddock, ANP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588
Dr. Erika M Jurasits, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 170 N Country Rd Ste 2, Port Jefferson, NY 11777
Phone: 631-509-6888    Fax: 631-509-6895
Dr. Francis M. Francin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 680 Main St, Suite2, Port Jefferson, NY 11777
Phone: 631-474-8626    Fax: 531-474-8626
Dr. Rhonda S Burmeister, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588
Dr. Jessica Lynn Blydenburgh, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Oakland Ave, Port Jefferson, NY 11777
Phone: 631-736-1311    Fax: 631-736-1312
Dr. Lewis Lee Bateman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 125 Oakland Ave Suite 205, Mather Primary Care, Port Jefferson, NY 11777
Phone: 631-686-2523    Fax: 631-686-2525

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.