Jacqueline Kelly, MD in Boise, ID - Medicare Internal Medicine

Jacqueline Kelly, MD is a medicare enrolled "Internal Medicine" physician in Boise, Idaho. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 500 W Fort St # 111, Boise Vamc, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 422-1314.

Jacqueline Kelly is licensed to practice in Idaho (license number MRM-1350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104169283.

Contact Information

	Jacqueline Kelly, MD
	500 W Fort St # 111, Boise Vamc, Boise, ID 83702-4501
	(208) 422-1314
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Kelly
Gender	Female
Speciality	Internal Medicine
Experience	11 Years
Location	500 W Fort St # 111, Boise, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Kelly graduated from medical school in 2013

NPI Data:

NPI Number: 1104169283
Provider Enumeration Date: 03/27/2013
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0941520076
Enrollment ID: I20161031002040

Medical Identifiers

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

Identifier	Type	State	Issuer
1104169283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MRM-1350 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital-santa Rosa	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Jacqueline Kelly allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jacqueline 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
Jacqueline Kelly, MD 500 W Fort St # 111, Boise Vamc, Boise, ID 83702-4501 Ph: () -	Jacqueline Kelly, MD 500 W Fort St # 111, Boise Vamc, Boise, ID 83702-4501 Ph: (208) 422-1314

Reviews and Comments

Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242
Dr. James Robert Polk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104
Dr. Michael Frederic Krug, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St, # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319
Derrel V Walker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951
Dr. Janat E. O'donnell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319
Carl L Durning, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597
Dr. Christopher J Goulet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286

Jacqueline Kelly, MD - Medicare Internal Medicine in Boise, ID