Dr Ronald Wolz Kelly, MD in Mansfield Center, CT

Dr Ronald Wolz Kelly, MD is a medicare enrolled "Pediatrics" physician in Mansfield Center, Connecticut. His current practice location is 12a Ledgebrook Dr, Mansfield Center, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 423-2960.

Dr Ronald Wolz Kelly is licensed to practice in Connecticut (license number 020761) 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 1760430110.

Contact Information

	Dr Ronald Wolz Kelly, MD
	12a Ledgebrook Dr, Mansfield Center, CT 06250-1664
	(860) 423-2960
	(860) 423-3719

Map and Direction

Physician's Profile

Full Name	Dr Ronald Wolz Kelly
Gender	Male
Speciality	Pediatrics
Location	12a Ledgebrook Dr, Mansfield Center, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760430110
Provider Enumeration Date: 05/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456585959
Enrollment ID: I20131017000453

Medical Identifiers

Medical identifiers for Dr Ronald Wolz Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760430110	NPI	-	NPPES
001207612	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	020761 (Connecticut)	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 Ronald Wolz Kelly allows following entities to bill medicare on his behalf.

Entity Name	Generations Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979

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 Ronald Wolz 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 Ronald Wolz Kelly, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960	Dr Ronald Wolz Kelly, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960

Reviews and Comments

Pediatrics Doctors in Mansfield Center, CT

Suzanne M Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Dr. Craig Russell Elliott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Dr. Anne Schwirck Willenborg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Dr. Thomas Harrison Gorin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719

Dr Ronald Wolz Kelly, MD - Medicare Pediatrics in Mansfield Center, CT