Dr Kelly Keefe Nelson, MD - Medicare Internal Medicine in Westbrook, CT

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Dr Kelly Keefe Nelson, MD is a medicare enrolled "Internal Medicine" physician in Westbrook, Connecticut. His current practice location is 5 Pequot Park Rd, Suite 301, Westbrook, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 399-6167.

Dr Kelly Keefe Nelson is licensed to practice in Connecticut (license number 30067) 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 1659396737.

Contact Information

Dr Kelly Keefe Nelson, MD
5 Pequot Park Rd, Suite 301,
Westbrook, CT 06498-2856
(860) 399-6167
(860) 399-6730

Map and Direction




Physician's Profile

Full NameDr Kelly Keefe Nelson
GenderMale
SpecialityInternal Medicine
Location5 Pequot Park Rd, Westbrook, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659396737
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153502943
  • Enrollment ID: I20110228000418

Medical Identifiers

Medical identifiers for Dr Kelly Keefe Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659396737NPI-NPPES
30067OtherCTSTATE MEDICAL LICENSE
24371OtherCTSTATE DCP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 30067 (Connecticut)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 Kelly Keefe Nelson allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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 Kelly Keefe Nelson 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 Kelly Keefe Nelson, MD
5 Pequot Park Rd, Suite 301,
Westbrook, CT 06498-2856

Ph: (860) 399-6167		Dr Kelly Keefe Nelson, MD
5 Pequot Park Rd, Suite 301,
Westbrook, CT 06498-2856

Ph: (860) 399-6167

Reviews and Comments


Internal Medicine Doctors in Westbrook, CT

Dr. Lara Ann Colabelli, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 5 Pequot Park Rd Ste 201a, Westbrook, CT 06498
Phone: 860-339-3350    Fax: 860-661-5027
Dr. Jill M Banatoski, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Pequot Park Rd, Suite 301, Westbrook, CT 06498
Phone: 860-399-6167    Fax: 860-399-6730

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.