Dr Kc Kelley, DO - Medicare Clinic/Center in Lynchburg, VA

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Dr Kc Kelley, DO is a medicare enrolled "Clinic/center - Primary Care" physician in Lynchburg, Virginia. His current practice location is 2323 Memorial Ave Ste 10, Lynchburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (143) 420-0615.

Dr Kc Kelley is licensed to practice in Virginia (license number 0102210148) 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 1073207064.

Contact Information

Dr Kc Kelley, DO
2323 Memorial Ave Ste 10,
Lynchburg, VA 24501-2652
(143) 420-0615
Not Available

Map and Direction




Physician's Profile

Full NameDr Kc Kelley
GenderMale
SpecialityClinic/center - Primary Care
Location2323 Memorial Ave Ste 10, Lynchburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073207064
  • Provider Enumeration Date: 06/05/2023
  • Last Update Date: 05/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133589674
  • Enrollment ID: I20230717000741

Medical Identifiers

Medical identifiers for Dr Kc Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073207064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0116037899 (Virginia)Secondary
261QP2300XClinic/center - Primary Care 0102210148 (Virginia)Primary
390200000XStudent In An Organized Health Care Education/training Program 0116037899 (Virginia)Secondary

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 Kc Kelley 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 Kc Kelley, DO
16890 Forest Rd,
Forest, VA 24551-4059

Ph: (434) 200-7210		Dr Kc Kelley, DO
2323 Memorial Ave Ste 10,
Lynchburg, VA 24501-2652

Ph: (143) 420-0615

Reviews and Comments



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.