Dr Kelli Ingram Baender, MD in Decatur, GA

Dr Kelli Ingram Baender, MD is a medicare enrolled "Dermatology" physician in Decatur, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Douglas Dermatology And Skin Cancer Specialists Llc and her current practice location is 150 E Ponce De Leon Ave Ste 150, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 566-5056.

Dr Kelli Ingram Baender is licensed to practice in Georgia (license number 60105) 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 1093793416.

Contact Information

	Dr Kelli Ingram Baender, MD
	150 E Ponce De Leon Ave Ste 150, Decatur, GA 30030-2566
	(404) 566-5056
	(404) 566-5046

Map and Direction

Physician's Profile

Full Name	Dr Kelli Ingram Baender
Gender	Female
Speciality	Dermatology
Experience	23 Years
Location	150 E Ponce De Leon Ave Ste 150, Decatur, Georgia
Accepts Medicare Assignments	Yes. 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 Kelli Ingram Baender attended and graduated from Medical College Of Georgia School Of Medicine in 2003

NPI Data:

NPI Number: 1093793416
Provider Enumeration Date: 01/05/2006
Last Update Date: 05/21/2026

Medicare PECOS Information:

PECOS PAC ID: 9537125091
Enrollment ID: I20080602000348

Medical Identifiers

Medical identifiers for Dr Kelli Ingram Baender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093793416	NPI	-	NPPES
86080015085259A972	Other	AZ	TRIWEST
P00231283	Other	AZ	RAILROAD MEDICARE
894057	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	60105 (Georgia)	Primary
207NS0135X	Dermatology - Procedural Dermatology	60105 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas Dermatology And Skin Cancer Specialists Llc	1658680764	9

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 Kelli Ingram Baender allows following entities to bill medicare on her behalf.

Entity Name	Georgia Dermatology Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558380527 PECOS PAC ID: 6800784281 Enrollment ID: O20040308000718

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 Kelli Ingram Baender 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 Kelli Ingram Baender, MD 216 Glendale Ave, Decatur, GA 30030-1918 Ph: (678) 480-4095	Dr Kelli Ingram Baender, MD 150 E Ponce De Leon Ave Ste 150, Decatur, GA 30030-2566 Ph: (404) 566-5056

Reviews and Comments

Dermatology Doctors in Decatur, GA

Dr. Holly L Hanson, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-508-0566 Fax: 404-508-0567
Dr. Carl V Washington, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Dr. Kathleen Jeanne Smith, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1670 Scott Blvd Ste 202, Decatur, GA 30033 Phone: 678-904-4932 Fax: 470-428-2869
Dr. Jordan Sern Yuang Lim, MD Dermatology Medicare: Medicare Enrolled Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-329-2222
Damon Van Mauldin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Lakenya Odom, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18004 Anwar Trl, Decatur, GA 30032 Phone: 678-668-4183

Dr Kelli Ingram Baender, MD - Medicare Dermatology in Decatur, GA