Kimberly Renee Kelley, MD in Tripler Amc, HI

Kimberly Renee Kelley, MD is a medicare enrolled "Anesthesiology" physician in Tripler Amc, Hawaii. Her current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 433-2460.

Kimberly Renee Kelley is licensed to practice in Ohio (license number 35055699) 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 1265413272.

Contact Information

	Kimberly Renee Kelley, MD
	1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001
	(808) 433-2460
	(808) 433-1558

Map and Direction

Physician's Profile

Full Name	Kimberly Renee Kelley
Gender	Female
Speciality	Anesthesiology
Location	1 Jarrett White Rd, Tripler Amc, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265413272
Provider Enumeration Date: 11/07/2005
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8921900366
Enrollment ID: I20231016003200

Medical Identifiers

Medical identifiers for Kimberly Renee Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265413272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	35055699 (Ohio)	Primary
207L00000X	Anesthesiology	01095424A (Indiana)	Secondary

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. Kimberly Renee Kelley allows following entities to bill medicare on her behalf.

Entity Name	Somc Medical Care Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203

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. Kimberly Renee Kelley 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
Kimberly Renee Kelley, MD 92-1001 Aliinui Dr Apt 17b, Kapolei, HI 96707-2255 Ph: (808) 292-3192	Kimberly Renee Kelley, MD 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460

Reviews and Comments

Anesthesiology Doctors in Tripler Amc, HI

Dr. Vincent A Diaz, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-448-1596
Dr. James J Kim, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558
Sayi Lindeire, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 301-300-5691
Dr. Glenn Patrick Akiona, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Dept. Of Surgery, Anesthesia Service, Tripler Amc, HI 96859 Phone: 808-433-5077
Dr. Alberto Cunanan San Juan Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558
Dr. Stephen Bruce Jones, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Trippler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558

Kimberly Renee Kelley, MD - Medicare Anesthesiology in Tripler Amc, HI