John Robert Kelly, MD is a medicare enrolled "Surgery" physician in Oneida, New York. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1984 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Oneida Surgical Group Pc and his current practice location is
357 Genesee Street, Oneida Surgical Group Pc, Oneida, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 363-8800.
John Robert Kelly is licensed to practice in New York (license number 181918) 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 1629151949.
Physician's Profile
| Full Name | John Robert Kelly |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 41 Years |
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| Location | 357 Genesee Street, Oneida, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Robert Kelly attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1984
NPI Data:
- NPI Number: 1629151949
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214971266
- Enrollment ID: I20120110000026
Medical Identifiers
Medical identifiers for John Robert Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629151949 | NPI | - | NPPES |
| 025001 | Other | | MVP |
| 00040192301 | Other | | UNIVERA |
| 00911284001 | Other | | BS OF NORTHEASTERN NY |
| 0100576 | Other | | GHI |
| 22160 | Other | | HEALTHSOURCE HMO NY |
| 5897089 | Other | | AETNA US HEALTHCARE |
| 01192492 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 181918 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oneida Surgical Group Pc | 3779527718 | 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. John Robert Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Oneida Surgical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770642902
PECOS PAC ID: 3779527718
Enrollment ID: O20050610000651 |
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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 Robert 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 |
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John Robert Kelly, MD
357 Genesee Street,
Oneida, NY 13421
Ph: (315) 363-8800 | John Robert Kelly, MD
357 Genesee Street, Oneida Surgical Group Pc,
Oneida, NY 13421
Ph: (315) 363-8800 |
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