Dr Kevin J Kelleher, MD - Medicare Family Medicine in Reston, VA

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Dr Kevin J Kelleher, MD is a medicare enrolled "Family Medicine" physician in Reston, Virginia. His current practice location is 12040 S Lakes Dr, Ste 207, Reston, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 464-0686.

Dr Kevin J Kelleher is licensed to practice in Virginia (license number 0101054571) 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 1689674202.

Contact Information

Dr Kevin J Kelleher, MD
12040 S Lakes Dr, Ste 207,
Reston, VA 20191-1246
(703) 464-0686
(703) 464-0698

Map and Direction




Physician's Profile

Full NameDr Kevin J Kelleher
GenderMale
SpecialityFamily Medicine
Location12040 S Lakes Dr, Reston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689674202
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 09/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4789648148
  • Enrollment ID: I20111209000004

Medical Identifiers

Medical identifiers for Dr Kevin J Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689674202NPI-NPPES
G00463OtherVAMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101054571 (Virginia)Primary

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 Kevin J Kelleher 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 Kevin J Kelleher, MD
12040 S Lakes Dr, Ste 207,
Reston, VA 20191-1246

Ph: (703) 464-0686		Dr Kevin J Kelleher, MD
12040 S Lakes Dr, Ste 207,
Reston, VA 20191-1246

Ph: (703) 464-0686

Reviews and Comments


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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.

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