Jacob Patrick Kelly, MD - Medicare Advanced Heart Failure And Transplant Cardiology in Anchorage, AK

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Jacob Patrick Kelly, MD is a medicare enrolled "Internal Medicine - Advanced Heart Failure And Transplant Cardiology" physician in Anchorage, Alaska. He went to University Of Colorado School Of Medicine, Denver and graduated in 2008 and has 16 years of diverse experience with area of expertise as Advanced Heart Failure And Transplant Cardiology. He is a member of the group practice Alaska Heart Institute, Providence Health And Services Washington, Providence Health And Services Washington and his current practice location is 3841 Piper St Ste T100, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 561-3211.

Jacob Patrick Kelly is licensed to practice in Alaska (license number 119045) 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 1851551949.

Contact Information

Jacob Patrick Kelly, MD
3841 Piper St Ste T100,
Anchorage, AK 99508-4674
(907) 561-3211
Not Available

Map and Direction




Physician's Profile

Full NameJacob Patrick Kelly
GenderMale
SpecialityAdvanced Heart Failure And Transplant Cardiology
Experience16 Years
Location3841 Piper St Ste T100, Anchorage, Alaska
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:
  • Jacob Patrick Kelly attended and graduated from University Of Colorado School Of Medicine, Denver in 2008
  NPI Data:
  • NPI Number: 1851551949
  • Provider Enumeration Date: 06/11/2008
  • Last Update Date: 02/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567630015
  • Enrollment ID: I20170725002881

Medical Identifiers

Medical identifiers for Jacob Patrick Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851551949NPI-NPPES
1668479MedicaidAK
1851551949MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine N5767 (Texas)Secondary
207R00000XInternal Medicine 2012-01069 (North Carolina)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 119045 (Alaska)Secondary
390200000XStudent In An Organized Health Care Education/training Program 2012-01069 (North Carolina)Secondary
207RA0001XInternal Medicine - Advanced Heart Failure And Transplant Cardiology 119045 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Alaska Medical CenterAnchorage, AKHospital
Alaska Regional HospitalAnchorage, AKHospital
Central Peninsula General HospitalSoldotna, AKHospital
Fairbanks Memorial HospitalFairbanks, AKHospital
Providence Kodiak Island Medical CtrKodiak, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alaska Heart Institute266837146957
Providence Health And Services Washington216333574627
Providence Health And Services Washington579967512015

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. Jacob Patrick Kelly allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467547265
PECOS PAC ID: 2163335746
Enrollment ID: O20031110000525
Entity NameAlaska Heart Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992744114
PECOS PAC ID: 2668371469
Enrollment ID: O20031231000146
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952430902
PECOS PAC ID: 5799675120
Enrollment ID: O20040318000605
Entity NameSouth Peninsula Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679566269
PECOS PAC ID: 5395636930
Enrollment ID: O20040323000583
Entity NameProvidence Health & Services Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1013905660
PECOS PAC ID: 5799675120
Enrollment ID: O20041221000920

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. Jacob Patrick 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
Jacob Patrick Kelly, MD
3841 Piper St Suite T100,
Anchorage, AK 99508

Ph: (907) 561-3211		Jacob Patrick Kelly, MD
3841 Piper St Ste T100,
Anchorage, AK 99508-4674

Ph: (907) 561-3211

Reviews and Comments


Internal Medicine Doctors in Anchorage, AK

Andrea Caballero, M.D.
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Daryl M. Mcclendon, M.D., P.C.
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Dr. Loretta Leih-sheng Lee, M.D.
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Dr. Richard Merle Farleigh, M.D.
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Phone: 907-561-4293    
Alexis Leandro Delgado, M.D.
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Phone: 907-375-3355    Fax: 907-375-3351
Geronimo Sahagun, MD
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Practice Location: 2841 Debarr Road, Suite 50, Anchorage, AK 99508
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Dr. Tram Phuong Chu, M.D.
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Practice Location: 3200 Providence Dr, Suite B111, Anchorage, AK 99508
Phone: 907-212-7890    Fax: 907-212-2374

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.