Dr Thomas J Kelly, DO in Fort Walton Beach, FL

Dr Thomas J Kelly, DO is a medicare enrolled "Emergency Medicine" physician in Fort Walton Beach, Florida. He graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Correct Care, Inc., Correct Care, Inc. and his current practice location is 1000 Mar Walt Dr, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 863-7607.

Dr Thomas J Kelly is licensed to practice in Florida (license number OS6762) 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 1629026596.

Contact Information

	Dr Thomas J Kelly, DO
	1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
	(850) 863-7607
	(205) 437-5998

Map and Direction

Physician's Profile

Full Name	Dr Thomas J Kelly
Gender	Male
Speciality	Emergency Medicine
Experience	40 Years
Location	1000 Mar Walt Dr, Fort Walton Beach, Florida
Accepts Medicare Assignments	Yes. 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 J Kelly graduated from medical school in 1986

NPI Data:

NPI Number: 1629026596
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/20/2009

Medicare PECOS Information:

PECOS PAC ID: 2163416165
Enrollment ID: I20040413000455

Medical Identifiers

Medical identifiers for Dr Thomas J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629026596	NPI	-	NPPES
80923	Other	FL	BCBS PROVIDER NUMBER
376379000	Medicaid	FL
059185641	Other	AL	BCBS PROVIDER NUMBER
059190499	Other	AL	BCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS6762 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical Center Enterprise	Enterprise, AL	Hospital
Tyler Holmes Memorial Hospital Cah	Winona, MS	Hospital
Washington County Hospital	Chatom, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Correct Care, Inc.	8628980992	71
Correct Care, Inc.	8628980992	71

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 J Kelly allows following entities to bill medicare on his behalf.

Entity Name	Correct Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906

Entity Name	Paragon Contracting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756

Entity Name	Southern Alabama Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896

Entity Name	Nes Tennessee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328

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 J 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 Thomas J Kelly, DO Po Box 88452, Chicago, IL 60680-1452 Ph: (205) 437-6098	Dr Thomas J Kelly, DO 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607

Reviews and Comments

Emergency Medicine Doctors in Fort Walton Beach, FL

Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111
Dr. Michael C Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Lon A Boutiette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. William Mendoza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Jason H Adams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607

Dr Thomas J Kelly, DO - Medicare Emergency Medicine in Fort Walton Beach, FL