Dr Stephen Michael Kelly, DO - Medicare Emergency Medicine in Derby, CT

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Dr Stephen Michael Kelly, DO is a medicare enrolled "Emergency Medicine" physician in Derby, Connecticut. He went to University Of New England, College Of Osteo Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Lukes Warren Physician Group Pc, Stationmd Professional Corporation, Stationmd Professional Corporation, Stationmd Professional Corporation, Emergency Physicians Of Connecticut Pc and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 735-7421.

Dr Stephen Michael Kelly is licensed to practice in Connecticut (license number 69876) 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 1558504258.

Contact Information

Dr Stephen Michael Kelly, DO
130 Division St,
Derby, CT 06418-1326
(203) 735-7421
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Michael Kelly
GenderMale
SpecialityEmergency Medicine
Experience15 Years
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stephen Michael Kelly attended and graduated from University Of New England, College Of Osteo Medicine in 2009
  NPI Data:
  • NPI Number: 1558504258
  • Provider Enumeration Date: 04/09/2009
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113185117
  • Enrollment ID: I20130727000072

Medical Identifiers

Medical identifiers for Dr Stephen Michael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558504258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 69876 (Connecticut)Primary
207P00000XEmergency Medicine 25MB09297100 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Griffin HospitalDerby, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Warren Physician Group Pc9739093675314
Stationmd Professional Corporation620418410442
Stationmd Professional Corporation620418410442
Stationmd Professional Corporation620418410442
Emergency Physicians Of Connecticut Pc882039021449

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 Stephen Michael Kelly allows following entities to bill medicare on his behalf.
Entity NameMiddlesex Emergency Physicians, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811921760
PECOS PAC ID: 9931002854
Enrollment ID: O20040129000034
Entity NameSt Lukes Warren Physician Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679847396
PECOS PAC ID: 9739093675
Enrollment ID: O20040323000967
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameStationmd Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285015347
PECOS PAC ID: 6204184104
Enrollment ID: O20180809001193

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 Stephen 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 AddressPractice Location Address
Dr Stephen Michael Kelly, DO
2631 Durham Rd,
Guilford, CT 06437-1049

Ph: () -		Dr Stephen Michael Kelly, DO
130 Division St,
Derby, CT 06418-1326

Ph: (203) 735-7421

Reviews and Comments


Emergency Medicine Doctors in Derby, CT

Dr. Sybil Cheng, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Dr. Indrani Datta, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    
Dr. Gregory Boris, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Russell Scott Holliday, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    
Laura Butler, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Shane Leslie Leighton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.