Dr Michael Kelly, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Ferndale, Michigan. He went to Wayne State University School Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Langston Walker And Associates, P.c. and his current practice location is
1933 Hyland St, Ferndale, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 933-0558.
Dr Michael Kelly is licensed to practice in Wisconsin (license number 86418) 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 1912981010.
Physician's Profile
| Full Name | Dr Michael Kelly |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 36 Years |
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| Location | 1933 Hyland St, Ferndale, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Kelly attended and graduated from Wayne State University School Of Medicine in 1990
NPI Data:
- NPI Number: 1912981010
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 0547320764
- Enrollment ID: I20081118000620
Medical Identifiers
Medical identifiers for Dr Michael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912981010 | NPI | - | NPPES |
| BLUE CROSS | Other | MI | 340H275000 |
| COMMERICAL | Other | MI | 382032989 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 86418 (Wisconsin) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301065795 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Langston Walker And Associates, P.c. | 1456443670 | 5 |
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 Michael Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Langston Walker & Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376527846
PECOS PAC ID: 1456443670
Enrollment ID: O20070817000306 |
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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 Michael Kelly 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 |
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Dr Michael Kelly, MD
1933 Hyland St,
Ferndale, MI 48220-3803
Ph: () - | Dr Michael Kelly, MD
1933 Hyland St,
Ferndale, MI 48220-3803
Ph: (248) 933-0558 |
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