Eleanor Marie Kelly, MD in Fullerton, CA - Medicare Internal Medicine

Eleanor Marie Kelly, MD is a medicare enrolled "Internal Medicine" physician in Fullerton, California. Her current practice location is 241 Imperial Hwy, Suite 350, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 578-8669.

Eleanor Marie Kelly is licensed to practice in California (license number A064544) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912080094.

Contact Information

	Eleanor Marie Kelly, MD
	241 Imperial Hwy, Suite 350, Fullerton, CA 92835-1055
	(714) 578-8669
	(714) 578-8629

Map and Direction

Physician's Profile

Full Name	Eleanor Marie Kelly
Gender	Female
Speciality	Internal Medicine
Location	241 Imperial Hwy, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912080094
Provider Enumeration Date: 10/23/2006
Last Update Date: 11/21/2011

Medicare PECOS Information:

PECOS PAC ID: 5890680441
Enrollment ID: I20070402000629

Medical Identifiers

Medical identifiers for Eleanor Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912080094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A064544 (California)	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. Eleanor Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760430847 PECOS PAC ID: 7416869516 Enrollment ID: O20031118000906

Entity Name	Trucare Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013456672 PECOS PAC ID: 1052695194 Enrollment ID: O20170308002728

Entity Name	Onclick Healthcare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074963 PECOS PAC ID: 9830511260 Enrollment ID: O20200612000107

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. Eleanor Marie 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
Eleanor Marie Kelly, MD 279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041 Ph: (714) 449-4800	Eleanor Marie Kelly, MD 241 Imperial Hwy, Suite 350, Fullerton, CA 92835-1055 Ph: (714) 578-8669

Reviews and Comments

Internal Medicine Doctors in Fullerton, CA

Kiho Woo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 E. Valencia Dr., Fullerton, CA 92835 Phone: 714-449-4800 Fax: 714-578-8629
Kumkum Sarkar Patel, M.D., MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1837 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5831
Pius J. Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-447-5027
Steven Woong Kim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835 Phone: 714-446-5900 Fax: 714-446-5800
Yung Lyou, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835 Phone: 714-446-5900
Andrew Tien Duke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3969
Eugene Boston, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 N Harbor Blvd, Suite 100, Fullerton, CA 92835 Phone: 714-449-6990

Eleanor Marie Kelly, MD - Medicare Internal Medicine in Fullerton, CA