Dr Kelly Tay Locke, MD in Aspen, CO - Medicare Family Practice

Dr Kelly Tay Locke, MD is a medicare enrolled "Family Medicine" physician in Aspen, Colorado. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1991 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bristol Bay Area Health Corporation, High Plains Community Health Center Incorporated and his current practice location is 401 Castle Creek Rd, Aspen, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 279-4111.

Dr Kelly Tay Locke is licensed to practice in Colorado (license number 38023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376546002.

Contact Information

	Dr Kelly Tay Locke, MD
	401 Castle Creek Rd, Aspen, CO 81611-1159
	(970) 279-4111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelly Tay Locke
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	401 Castle Creek Rd, Aspen, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Tay Locke attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1991

NPI Data:

NPI Number: 1376546002
Provider Enumeration Date: 05/27/2005
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5991778854
Enrollment ID: I20231224000066

Medical Identifiers

Medical identifiers for Dr Kelly Tay Locke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376546002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	210985 (Alaska)	Secondary
207Q00000X	Family Medicine	38023 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peacehealth Ketchikan Medical Center	Ketchikan, AK	Hospital
Bristol Bay Area Health Corporation	Dillingham, AK	Hospital
Valley View Hospital Association	Glenwood springs, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bristol Bay Area Health Corporation	5890699920	89
High Plains Community Health Center Incorporated	8527031533	22

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 Tay Locke allows following entities to bill medicare on his behalf.

Entity Name	Bristol Bay Area Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998

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 Tay Locke 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 Kelly Tay Locke, MD 401 Castle Creek Rd, Aspen, CO 81611-1159 Ph: (970) 279-4111	Dr Kelly Tay Locke, MD 401 Castle Creek Rd, Aspen, CO 81611-1159 Ph: (970) 279-4111

Reviews and Comments

Family Medicine Doctors in Aspen, CO

Anne M Goyette, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Founders Pl, Suite 109, Aspen, CO 81611 Phone: 970-920-0104 Fax: 970-920-0124
Stephanie Karozos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Mill St Ste 116, Aspen, CO 81611 Phone: 970-544-1234

Dr Kelly Tay Locke, MD - Medicare Family Practice in Aspen, CO