John B Kelly, MD - Medicare Neurology in Wasilla, AK

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John B Kelly, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Wasilla, Alaska. He went to University Of Colorado School Of Medicine, Aurora and graduated in 1986 and has 40 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Northern Neurology Llc, Select Physical Therapy Holdings Inc and his current practice location is 3505 E Meridian Park Loop Ste 100, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 416-6594.

John B Kelly is licensed to practice in Alaska (license number 203883) 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 1407855315.

Contact Information

John B Kelly, MD
3505 E Meridian Park Loop Ste 100,
Wasilla, AK 99654-7242
(907) 416-6594
(800) 654-6250

Map and Direction




Physician's Profile

Full NameJohn B Kelly
GenderMale
SpecialityNeurology
Experience40 Years
Location3505 E Meridian Park Loop Ste 100, Wasilla, 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:
  • John B Kelly attended and graduated from University Of Colorado School Of Medicine, Aurora in 1986
  NPI Data:
  • NPI Number: 1407855315
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678466570
  • Enrollment ID: I20231019002342

Medical Identifiers

Medical identifiers for John B Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407855315NPI-NPPES
1740353MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 27953 (Kentucky)Secondary
2084N0400XPsychiatry & Neurology - Neurology 203883 (Alaska)Primary
2084N0400XPsychiatry & Neurology - Neurology 27953 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mat-su Regional Medical CenterPalmer, AKHospital
Fairbanks Memorial HospitalFairbanks, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Neurology Llc62043774352
Select Physical Therapy Holdings Inc95370764011463

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. John B Kelly allows following entities to bill medicare on his behalf.
Entity NameCoastal Neurology And Neurosurgery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689927626
PECOS PAC ID: 9436303427
Enrollment ID: O20130128000361
Entity NameChristine Bailes Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558806901
PECOS PAC ID: 6901188937
Enrollment ID: O20170126000903
Entity NameNorthern Neurology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306684980
PECOS PAC ID: 6204377435
Enrollment ID: O20241126002565

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. John B 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
John B Kelly, MD
3505 E Meridian Park Loop Ste 100,
Wasilla, AK 99654-7242

Ph: (907) 416-6594		John B Kelly, MD
3505 E Meridian Park Loop Ste 100,
Wasilla, AK 99654-7242

Ph: (907) 416-6594

Reviews and Comments


Psychiatry & Neurology Doctors in Wasilla, AK

Dr. Carmen M Sugai, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654
Phone: 907-631-7800    
Harriet Lia Loo, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654
Phone: 907-376-2411    
Dr. Natalie Dawn Velasquez, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654
Phone: 907-631-7437    

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.