Katherine Kelley, - Medicare General Surgery in Philadelphia, PA

Katherine Kelley, is a medicare enrolled "Surgery - Trauma Surgery" physician in Philadelphia, Pennsylvania. She went to Drexel University College Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Medical Practices Of Antietam, Llc, Meritus Medical Center Inc, Prospect Health Access Network Inc, St Lukes Physician Group Inc and her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3133.

Katherine Kelley is licensed to practice in Pennsylvania (license number MD471120) 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 1770926131.

Contact Information

Katherine Kelley,
3401 N Broad St,
Philadelphia, PA 19140-5103
(215) 707-3133
Not Available

Map and Direction




Physician's Profile

Full NameKatherine Kelley
GenderFemale
SpecialityGeneral Surgery
Experience13 Years
Location3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katherine Kelley attended and graduated from Drexel University College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1770926131
  • Provider Enumeration Date: 04/16/2013
  • Last Update Date: 02/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921308990
  • Enrollment ID: I20190711001229

Medical Identifiers

Medical identifiers for Katherine Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770926131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 036152534 (Illinois)Secondary
208600000XSurgery 036152534 (Illinois)Secondary
208600000XSurgery MC-048 (Guam)Secondary
208600000XSurgery 1149 (Wisconsin)Secondary
2086S0127XSurgery - Trauma Surgery 036152534 (Illinois)Secondary
2086S0102XSurgery - Surgical Critical Care MC-048 (Guam)Secondary
2086S0102XSurgery - Surgical Critical Care D0086537 (Maryland)Secondary
2086S0127XSurgery - Trauma Surgery MD471120 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meritus Medical CenterHagerstown, MDHospital
Crozer Chester Medical CenterUpland, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Practices Of Antietam, Llc2567353865198
Meritus Medical Center Inc7113811795563
Prospect Health Access Network Inc5698065142168
St Lukes Physician Group Inc67097983331858

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. Katherine Kelley allows following entities to bill medicare on her behalf.
Entity NameMeritus Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205176393
PECOS PAC ID: 7113811795
Enrollment ID: O20040212000950
Entity NameMedical Practices Of Antietam, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558430843
PECOS PAC ID: 2567353865
Enrollment ID: O20040324001019
Entity NameShock Trauma Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679512909
PECOS PAC ID: 6800882317
Enrollment ID: O20040421000976

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. Katherine 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 AddressPractice Location Address
Katherine Kelley,
3509 N Broad St,
Philadelphia, PA 19140-4105

Ph: () -
Katherine Kelley,
3401 N Broad St,
Philadelphia, PA 19140-5103

Ph: (215) 707-3133

Reviews and Comments


Surgery Doctors in Philadelphia, PA

Elizabeth Diane Dauer, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Broad St, Philadelphia, PA 19140
Phone: 215-707-3133    Fax: 215-707-2915
Dr. Susete Carneiro, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Broad St, Philadelphia, PA 19140
Phone: 201-317-3485    
Dr. Cassandra Alys Ligh, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104
Phone: 215-590-2208    Fax: 267-425-9552
Victor Kim, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104
Phone: 215-823-5800    
James Sun, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 333 Cottman Ave, Philadelphia, PA 19111
Phone: 215-854-9799    
Simran Kripalani, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3401 N Broad St, Philadelphia, PA 19140
Phone: 215-717-2000    
Adrian W Ong, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104
Phone: 215-662-7320    Fax: 412-359-8639

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.