Jennifer Kelley, MD in Bossier City, LA - Medicare Pediatric Medicine

Jennifer Kelley, MD is a medicare enrolled "Internal Medicine" physician in Bossier City, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 2010 and has 14 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Wk Internal Medicine And Pediatric Specialists and her current practice location is 2300 Hospital Dr Ste 300, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-7793.

Jennifer Kelley is licensed to practice in Louisiana (license number MD.206814) 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 1366760993.

Contact Information

	Jennifer Kelley, MD
	2300 Hospital Dr Ste 300, Bossier City, LA 71111
	(318) 212-7793
	(318) 212-7795

Map and Direction

Physician's Profile

Full Name	Jennifer Kelley
Gender	Female
Speciality	Pediatric Medicine
Experience	14 Years
Location	2300 Hospital Dr Ste 300, Bossier City, Louisiana
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:

Jennifer Kelley attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2010

NPI Data:

NPI Number: 1366760993
Provider Enumeration Date: 05/06/2010
Last Update Date: 06/17/2021

Medicare PECOS Information:

PECOS PAC ID: 6204055965
Enrollment ID: I20140912000447

Medical Identifiers

Medical identifiers for Jennifer Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366760993	NPI	-	NPPES
2103211	Medicaid	LA
362685YH54	Other	LA	MEDICARE - PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD.206814 (Louisiana)	Secondary
207R00000X	Internal Medicine	MD.206814 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Internal Medicine And Pediatric Specialists	8022322957	4

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. Jennifer Kelley allows following entities to bill medicare on her behalf.

Entity Name	Louisiana State University Health Sciences Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275

Entity Name	Wk Internal Medicine And Pediatric Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851783955 PECOS PAC ID: 8022322957 Enrollment ID: O20150805007534

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Jennifer Kelley 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
Jennifer Kelley, MD 2300 Hospital Dr Ste 300, Bossier City, LA 71111-2157 Ph: (318) 212-7793	Jennifer Kelley, MD 2300 Hospital Dr Ste 300, Bossier City, LA 71111 Ph: (318) 212-7793

Reviews and Comments

Internal Medicine Doctors in Bossier City, LA

Neelima Chintapalli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr, Bossier City, LA 71111 Phone: 318-848-2970 Fax: 318-848-2971
Diana Magpayo Lim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915
Dr. Barry Marvin Osherowitz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1608 Jimmie Davis Hwy, Bossier City, LA 71112 Phone: 318-747-2510 Fax: 318-742-3727
Nealan Dewayne Prather, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915
Leslie Jean Sewell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 320, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855
Tom Chalermchai Rodsuwan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995
Charles Alfred Powers, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915

Jennifer Kelley, MD - Medicare Pediatric Medicine in Bossier City, LA