Dr Michael Thomas Kelly, DO is a
Physical Medicine & Rehabilitation physician based in Salem, Virginia. Dr Michael Thomas Kelly is licensed to practice in North Carolina (license number 2011-01909) and his current practice location is 1900 Electric Rd, Salem, Virginia. He can be reached at his office (for appointments etc.) via phone at
(817) 284-9850.
NPI number for Dr Michael Thomas Kelly is 1063449130 and his current mailing address is 6707 Brentwood Stair Rd Ste 600, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063449130.
Physician's Profile
| Full Name | Dr Michael Thomas Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1900 Electric Rd, Salem, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063449130
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 06/03/2019
Medical Identifiers
Medical identifiers for Dr Michael Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063449130 | NPI | - | NPPES |
| 5919524 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P0004X | Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine | 2011-01909 (North Carolina) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2011-01909 (North Carolina) | 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 Michael Thomas Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Thomas Kelly, DO
6707 Brentwood Stair Rd Ste 600,
Fort Worth, TX 76112-3368
Ph: (817) 284-9850 | Dr Michael Thomas Kelly, DO
1900 Electric Rd,
Salem, VA 24153-7474
Ph: (817) 284-9850 |
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