Dr Timothy F Kelly, MD is a medicare enrolled "Dermatology" physician in Safety Harbor, Florida. He went to University Of South Florida College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Palm Harbor Dermatology Pa and his current practice location is
1840 Mease Dr, Suite 406, Safety Harbor, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 712-8222.
Dr Timothy F Kelly is licensed to practice in Florida (license number ME0039333) 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 1184606816.
Physician's Profile
| Full Name | Dr Timothy F Kelly |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 46 Years |
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| Location | 1840 Mease Dr, Safety Harbor, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy F Kelly attended and graduated from University Of South Florida College Of Medicine in 1978
NPI Data:
- NPI Number: 1184606816
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769679240
- Enrollment ID: I20101209000868
Medical Identifiers
Medical identifiers for Dr Timothy F Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184606816 | NPI | - | NPPES |
| 110257000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | ME0039333 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Palm Harbor Dermatology Pa | 4789758558 | 30 |
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 Timothy F Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Palm Harbor Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497927016
PECOS PAC ID: 4789758558
Enrollment ID: O20080729000233 |
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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 Timothy F 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 |
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Dr Timothy F Kelly, MD
4919 Memorial Hwy Ste 150,
Tampa, FL 33634-7516
Ph: (813) 333-1512 | Dr Timothy F Kelly, MD
1840 Mease Dr, Suite 406,
Safety Harbor, FL 34695-6602
Ph: (727) 712-8222 |
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