Kelly Lynn Common, DO in Fruita, CO - Medicare Family Medicine

Kelly Lynn Common, DO is a medicare enrolled "Family Medicine" physician in Fruita, Colorado. Her current practice location is 300 W Ottley Ave, Fruita, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 858-3900.

Kelly Lynn Common is licensed to practice in Colorado (license number DR.0048539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700041670.

Contact Information

	Kelly Lynn Common, DO
	300 W Ottley Ave, Fruita, CO 81521-2118
	(970) 858-3900
	(970) 858-2743

Map and Direction

Physician's Profile

Full Name	Kelly Lynn Common
Gender	Female
Speciality	Family Medicine
Location	300 W Ottley Ave, Fruita, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700041670
Provider Enumeration Date: 07/21/2008
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6305012642
Enrollment ID: I20120109000156

Medical Identifiers

Medical identifiers for Kelly Lynn Common such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700041670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OT012538 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	DR.0048539 (Colorado)	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. Kelly Lynn Common allows following entities to bill medicare on her behalf.

Entity Name	Lower Valley Hospital Association
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1609190206 PECOS PAC ID: 4284526021 Enrollment ID: O20040326000937

Entity Name	Lower Valley Hospital Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1861496697 PECOS PAC ID: 4284526021 Enrollment ID: O20090218000366

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. Kelly Lynn Common 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
Kelly Lynn Common, DO Po Box 130, Fruita, CO 81521-0130 Ph: (970) 858-2186	Kelly Lynn Common, DO 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-3900

Reviews and Comments

Family Medicine Doctors in Fruita, CO

Elizabeth Ann Mensing, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-3900 Fax: 970-858-2743
Korrey D Klein, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331
Mackenzie Katherine Hartman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331
John Nozykowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Jurassic Ave Unit B, Fruita, CO 81521 Phone: 970-858-6677 Fax: 970-858-6679
Rebecca Levin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 Phone: 970-858-9894
Diane Dill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331
Thomas Scott Motz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331

Kelly Lynn Common, DO - Medicare Family Medicine in Fruita, CO