Dr Robert B Kelly, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Forked River, New Jersey. His current practice location is
823 Lacey Rd, Forked River, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 242-2705.
Dr Robert B Kelly is licensed to practice in New Jersey (license number 25MB06389400) 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 1922202738.
Physician's Profile
| Full Name | Dr Robert B Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
|---|
| Location | 823 Lacey Rd, Forked River, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1922202738
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 02/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 1254472640
- Enrollment ID: I20100107000326
Medical Identifiers
Medical identifiers for Dr Robert B Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922202738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 25MB06389400 (New Jersey) | Primary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 25MB06389400 (New Jersey) | 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. Dr Robert B Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Physical Medicine Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043393085
PECOS PAC ID: 5496667198
Enrollment ID: O20031103000045 |
|---|
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 Robert B 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 |
|---|
Dr Robert B Kelly, DO
Po Box 659,
Lanoka Harbor, NJ 08734-0659
Ph: (609) 242-2705 | Dr Robert B Kelly, DO
823 Lacey Rd,
Forked River, NJ 08731-1203
Ph: (609) 242-2705 |
Reviews and Comments