Dr Patrick Mark Kelley, MD is a medicare enrolled "Plastic Surgery" physician in Panama City, Florida. His current practice location is
15 Doctors Dr, Panama City, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 769-8991.
Dr Patrick Mark Kelley is licensed to practice in Florida (license number ME32802) 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 1861593949.
Physician's Profile
| Full Name | Dr Patrick Mark Kelley |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 15 Doctors Dr, Panama City, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861593949
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 05/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577755453
- Enrollment ID: I20110510000619
Medical Identifiers
Medical identifiers for Dr Patrick Mark Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861593949 | NPI | - | NPPES |
| 031772-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | ME32802 (Florida) | Primary |
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 Patrick Mark Kelley allows following entities to bill medicare on his behalf.
| Entity Name | Patrick M.kelley, M.d., Plastic Surgery Center, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023327673
PECOS PAC ID: 2668664541
Enrollment ID: O20101011000547 |
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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 Patrick Mark 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 |
|---|
Dr Patrick Mark Kelley, MD
15 Doctors Dr,
Panama City, FL 32405-4520
Ph: (850) 769-8991 | Dr Patrick Mark Kelley, MD
15 Doctors Dr,
Panama City, FL 32405-4520
Ph: (850) 769-8991 |
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