Dr John Wilson Kelly Iv, MD in Anderson, SC - Medicare Internal Medicine

Dr John Wilson Kelly Iv, MD is a medicare enrolled "Internal Medicine" physician in Anderson, South Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice 24 On Physicians Pc and his current practice location is 800 N Fant St, Anderson, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 512-1000.

Dr John Wilson Kelly Iv is licensed to practice in South Carolina (license number MD51998) 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 1194104802.

Contact Information

	Dr John Wilson Kelly Iv, MD
	800 N Fant St, Anderson, SC 29621-5708
	(864) 512-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Wilson Kelly Iv
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	800 N Fant St, Anderson, South Carolina
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 John Wilson Kelly Iv graduated from medical school in 2014

NPI Data:

NPI Number: 1194104802
Provider Enumeration Date: 05/27/2015
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 7719283472
Enrollment ID: I20181008003505

Medical Identifiers

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

Identifier	Type	State	Issuer
1194104802	NPI	-	NPPES
1194104802	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD51998 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anmed Home Health Agency	Anderson, SC	Home health agency
Anmed Health	Anderson, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
24 On Physicians Pc	5698688141	250

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 John Wilson Kelly Iv allows following entities to bill medicare on his behalf.

Entity Name	24 On Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018

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 John Wilson 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 John Wilson Kelly Iv, MD 143 Mediterranean Ave, Anderson, SC 29621-4293 Ph: (803) 427-4827	Dr John Wilson Kelly Iv, MD 800 N Fant St, Anderson, SC 29621-5708 Ph: (864) 512-1000

Reviews and Comments

Internal Medicine Doctors in Anderson, SC

Shahzad H Sheikh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Montgomery Dr, Anderson, SC 29621 Phone: 864-512-5849 Fax: 864-512-7575
Winston Cordell Floyd, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 North Fant Street, Suite G, Anderson, SC 29621 Phone: 864-224-2197 Fax: 864-225-0033
David W Potts, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 118 Montgomery Dr, Anderson, SC 29621 Phone: 864-512-3915 Fax: 864-260-3920
Sanjeev Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 819 N Fant St, Anderson, SC 29621 Phone: 864-261-1800 Fax: 864-261-1856
Rajeev Malik, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 E Greenville St, Ste 5000, Anderson, SC 29621 Phone: 864-224-5765 Fax: 864-224-1449
Daniel W. Grisham Sr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St Ste 2300, Anderson, SC 29621 Phone: 864-512-5780 Fax: 864-375-1155
Dr. William Muirhead Turner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 131 Addis Cir, Anderson, SC 29626 Phone: 864-934-6833

Dr John Wilson Kelly Iv, MD - Medicare Internal Medicine in Anderson, SC