Dr Jeffrey John Kelly, DO - Medicare Dermatology in Traverse City, MI

Dr Jeffrey John Kelly, DO is a medicare enrolled "Dermatology" physician in Traverse City, Michigan. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Associates In Dermatology Of Traverse City Pc and his current practice location is 3643 W Front St, Suite A, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0620.

Dr Jeffrey John Kelly is licensed to practice in Michigan (license number 5101020217) 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 1770565384.

Contact Information

Dr Jeffrey John Kelly, DO
3643 W Front St, Suite A,
Traverse City, MI 49684-7759
(231) 935-0620
(231) 935-0626

Map and Direction




Physician's Profile

Full NameDr Jeffrey John Kelly
GenderMale
SpecialityDermatology
Experience14 Years
Location3643 W Front St, Traverse City, Michigan
Accepts Medicare AssignmentsYes. 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 Jeffrey John Kelly graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1770565384
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 07/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0042451684
  • Enrollment ID: I20130724000909

Medical Identifiers

Medical identifiers for Dr Jeffrey John Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770565384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 055534 (Georgia)Secondary
207N00000XDermatology 5101020217 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associates In Dermatology Of Traverse City Pc49816072985

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 Jeffrey John Kelly allows following entities to bill medicare on his behalf.
Entity NameAssociates In Dermatology Of Traverse City Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430779
PECOS PAC ID: 4981607298
Enrollment ID: O20060804000316

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 Jeffrey John 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 Jeffrey John Kelly, DO
3643 W Front St, Suite A,
Traverse City, MI 49684-7759

Ph: (231) 935-0620
Dr Jeffrey John Kelly, DO
3643 W Front St, Suite A,
Traverse City, MI 49684-7759

Ph: (231) 935-0620

Reviews and Comments


Dermatology Doctors in Traverse City, MI

Raymond J Dean, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3643 W Front St Ste A, Traverse City, MI 49684
Phone: 231-935-0620    Fax: 231-935-0626
Paula L Cahill, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686
Phone: 231-935-8717    Fax: 231-935-9230
Maria C Carroll, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 550 Munson Ave, Suite 200, Traverse City, MI 49686
Phone: 231-935-8717    Fax: 231-935-9230
Joan M Griner Licht, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3643 W Front St Ste A, Traverse City, MI 49684
Phone: 231-935-0620    Fax: 231-935-0626
Susan C Noble, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 550 Munson Avenue, Suite 200, Traverse City, MI 49686
Phone: 231-935-8717    Fax: 231-935-9230
Anthony C Vanvreede,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684
Phone: 231-642-5031    Fax: 231-525-2306

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.