James M Kelly, MD - Medicare Family Practice in Ephrata, PA

James M Kelly, MD is a medicare enrolled "Family Medicine" physician in Ephrata, Pennsylvania. He went to Brody School Of Medicine At East Carolina University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lancaster General Medical Group and his current practice location is 1635 W Main St, Suite 700, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 738-0660.

James M Kelly is licensed to practice in Pennsylvania (license number MD428418) 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 1104861343.

Contact Information

James M Kelly, MD
1635 W Main St, Suite 700,
Ephrata, PA 17522-1119
(717) 738-0660
(717) 738-0658

Map and Direction




Physician's Profile

Full NameJames M Kelly
GenderMale
SpecialityFamily Practice
Experience21 Years
Location1635 W Main St, Ephrata, Pennsylvania
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:
  • James M Kelly attended and graduated from Brody School Of Medicine At East Carolina University in 2003
  NPI Data:
  • NPI Number: 1104861343
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 09/01/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335152727
  • Enrollment ID: I20060802000117

Medical Identifiers

Medical identifiers for James M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104861343NPI-NPPES
107754 S1QFOtherPAGEISINGER HEALTH PLAN
1429961OtherPAAETNA HMO
50061893OtherPACAPITAL BLUE CROSS
50060203OtherPACAPITAL BLUE CROSS
1874597OtherPAHIGHMARK BLUE SHIELD
P008054OtherPAGATEWAY HEALTH PLAN
7276819OtherPAAETNA NON-HMO
I54742OtherPAHEALTH ASSURANCE
50061968OtherPACAPITAL BLUE CROSS
50065832OtherPACAPITAL BLUE CROSS
1016458260001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD428418 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lancaster General HospitalLancaster, PAHospital
Wellspan Ephrata Community HospitalEphrata, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lancaster General Medical Group0941103683463

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. James M Kelly allows following entities to bill medicare on his behalf.
Entity NameLancaster General Health - Columbia Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700972338
PECOS PAC ID: 1254241359
Enrollment ID: O20040128000813
Entity NameLancaster General Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952392383
PECOS PAC ID: 0941103683
Enrollment ID: O20040309000916

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. James M 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
James M Kelly, MD
1635 W Main St, Suite 700,
Ephrata, PA 17522-1119

Ph: (717) 738-0660
James M Kelly, MD
1635 W Main St, Suite 700,
Ephrata, PA 17522-1119

Ph: (717) 738-0660

Reviews and Comments


Family Medicine Doctors in Ephrata, PA

Dr. Jonathan Musyt, M.D.
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Practice Location: 1635 W Main St Ste 700, Ephrata, PA 17522
Phone: 717-738-0660    Fax: 717-738-0658
Paul G Avadanian, DO
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Practice Location: 136 A&b Lake Street, Lake Street Family Practice, Ephrata, PA 17522
Phone: 717-721-7718    Fax: 717-721-7726
Joseph J Irwin, MD
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Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-738-2468    Fax: 717-715-1416
Govindbhai Parshottambhai Kachhadiya, M.D
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Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-721-8195    Fax: 717-733-6010
Anna R Kent, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 446 N Reading Rd, Ephrata, PA 17522
Phone: 717-466-2426    Fax: 717-270-3759
Ivan Courtney Shorter, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-733-0311    Fax: 717-721-5861

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.