Dr Thomas Charles Kelly, MD - Medicare Otolaryngology in Normal, IL

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Dr Thomas Charles Kelly, MD is a medicare enrolled "Otolaryngology" physician in Normal, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 207 Landmark Dr, Suite A, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 268-3200.

Dr Thomas Charles Kelly is licensed to practice in Michigan (license number 4301084281) 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 1891997110.

Contact Information

Dr Thomas Charles Kelly, MD
207 Landmark Dr, Suite A,
Normal, IL 61761-3195
(309) 268-3200
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Charles Kelly
GenderMale
SpecialityOtolaryngology
Experience21 Years
Location207 Landmark Dr, Normal, Illinois
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 Thomas Charles Kelly attended and graduated from Southern Illinois University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1891997110
  • Provider Enumeration Date: 05/31/2007
  • Last Update Date: 11/20/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3274670989
  • Enrollment ID: I20091029000472

Medical Identifiers

Medical identifiers for Dr Thomas Charles Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891997110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 4301084281 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterBloomington, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Saint James HospitalPontiac, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891848

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 Thomas Charles Kelly allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Thomas Charles 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 Thomas Charles Kelly, MD
701 Lee St, Suite 300,
Des Plaines, IL 60016-4539

Ph: (847) 390-5900		Dr Thomas Charles Kelly, MD
207 Landmark Dr, Suite A,
Normal, IL 61761-3195

Ph: (309) 268-3200

Reviews and Comments


Otolaryngology Doctors in Normal, IL

Jay K. Chauhan, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 207 Landmark Dr, Normal, IL 61761
Phone: 309-268-3200    
Dr. Andrew James Lerrick, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 207 Landmark Dr Ste A, Normal, IL 61761
Phone: 309-268-3200    

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.