Dr Kelley Scott Bond Smith, MD - Medicare Emergency Medicine in Peoria, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Peoria
Dr Kelley Scott Bond Smith, MD is a medicare enrolled "Emergency Medicine" physician in Peoria, Illinois. She went to Indiana University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Professional Emergency Physicians Pc and her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2000.

Dr Kelley Scott Bond Smith is licensed to practice in Illinois (license number 125.059413) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992099212.

Contact Information

Dr Kelley Scott Bond Smith, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kelley Scott Bond Smith
GenderFemale
SpecialityEmergency Medicine
Experience14 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelley Scott Bond Smith attended and graduated from Indiana University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1992099212
  • Provider Enumeration Date: 06/03/2011
  • Last Update Date: 06/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0042434003
  • Enrollment ID: I20140612001374

Medical Identifiers

Medical identifiers for Dr Kelley Scott Bond Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992099212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.059413 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cameron Memorial Community Hospital IncAngola, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Professional Emergency Physicians Pc276938421346

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 Kelley Scott Bond Smith allows following entities to bill medicare on her behalf.
Entity NameProfessional Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144215096
PECOS PAC ID: 2769384213
Enrollment ID: O20040123000999
Entity NameElite Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932155371
PECOS PAC ID: 8022087642
Enrollment ID: O20040930000456
Entity NameCommunity Hospital Of Lagrange County, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1679674956
PECOS PAC ID: 1355382706
Enrollment ID: O20140318000136
Entity NameParkview Wabash Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1245259878
PECOS PAC ID: 0244553360
Enrollment ID: O20141222002050

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 Kelley Scott Bond Smith 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 Kelley Scott Bond Smith, MD
1217 Stanley St,
Burns Harbor, IN 46304-9759

Ph: (260) 243-1459		Dr Kelley Scott Bond Smith, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2000

Reviews and Comments


Emergency Medicine Doctors in Peoria, IL

Austin J Lamb, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637
Phone: 309-655-7257    
Philip A Fifield, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Brittain Utah Ladd, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Dr. Anthony J Buecker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5500    
Dr. Mark Phillip Gaudio, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6710    
Michael M Raso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1115 N Bourland Ave, Peoria, IL 61606
Phone: 309-264-0730    
Joseph Devito, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL 61637
Phone: 309-655-6710    

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.