Dr Jill S Kelly, MD in Brentwood, TN

Dr Jill S Kelly, MD is a medicare enrolled "Pediatrics" physician in Brentwood, Tennessee. Her current practice location is 343 Franklin Rd Ste 106, Brentwood, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 814-4500.

Dr Jill S Kelly is licensed to practice in Tennessee (license number 56893) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720168354.

Contact Information

	Dr Jill S Kelly, MD
	343 Franklin Rd Ste 106, Brentwood, TN 37027-5250
	(615) 814-4500
	(615) 814-4500

Map and Direction

Physician's Profile

Full Name	Dr Jill S Kelly
Gender	Female
Speciality	Pediatrics
Location	343 Franklin Rd Ste 106, Brentwood, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720168354
Provider Enumeration Date: 10/17/2006
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0042530487
Enrollment ID: I20150526001803

Medical Identifiers

Medical identifiers for Dr Jill S Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720168354	NPI	-	NPPES
920540	Other	IL	MEDICARE PTAN GROUP
036121179	Medicaid	IL
F400215043	Other	IL	MEDICARE PTAN INDIVIDUAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-121019 (Illinois)	Secondary
208000000X	Pediatrics	56893 (Tennessee)	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 Jill S Kelly allows following entities to bill medicare on her behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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 Jill S 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 Jill S Kelly, MD 343 Franklin Rd Ste 106, Brentwood, TN 37027-5250 Ph: (615) 814-4500	Dr Jill S Kelly, MD 343 Franklin Rd Ste 106, Brentwood, TN 37027-5250 Ph: (615) 814-4500

Reviews and Comments

Pediatrics Doctors in Brentwood, TN

Dr. Leah Marie Umphlett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5111 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-661-4256 Fax: 615-661-4253
Elizabeth Louise Mcfarlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 343 Franklin Rd, Ste 210, Brentwood, TN 37027 Phone: 615-373-2248 Fax: 615-373-5116
Dr. Christina M Lohse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1622 Westgate Cir, Brentwood, TN 37027 Phone: 629-255-2187 Fax: 629-255-4234
Dr. Charles A Moss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 95 Seaboard Ln, Suite 201, Brentwood, TN 37027 Phone: 615-261-1214 Fax: 615-261-1222
Dr. Bram I Pinkley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1622 Westgate Cir, Brentwood, TN 37027 Phone: 629-255-2177 Fax: 629-255-4235
Dorsey Andrews Rickard, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1607 Westgate Cir Ste 200, Brentwood, TN 37027 Phone: 615-376-8195 Fax: 615-376-2601
Cory Brooks Collier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7003 Chadwick Dr Ste 298, Brentwood, TN 37027 Phone: 615-750-3774 Fax: 615-442-8273

Dr Jill S Kelly, MD - Medicare Pediatrics in Brentwood, TN