Katherine Kelley, in Baltimore, MD - Medicare General Surgery

Katherine Kelley, is a medicare enrolled "Surgery - Surgical Critical Care" physician in Baltimore, Maryland. She went to Drexel University College Of Medicine and graduated in 2013 and has 12 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 22 S Greene St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 328-9878.

Katherine Kelley is licensed to practice in Maryland (license number D0086537) 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,
	22 S Greene St, Baltimore, MD 21201-1544
	(410) 328-9878
	Not Available

Map and Direction

Physician's Profile

Full Name	Katherine Kelley
Gender	Female
Speciality	General Surgery
Experience	12 Years
Location	22 S Greene St, Baltimore, Maryland
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:

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: 02/10/2025

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.

Identifier	Type	State	Issuer
1770926131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MC-048 (Guam)	Secondary
208600000X	Surgery	1149 (Wisconsin)	Secondary
208600000X	Surgery	036152534 (Illinois)	Secondary
2086S0102X	Surgery - Surgical Critical Care	036152534 (Illinois)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MC-048 (Guam)	Secondary
2086S0127X	Surgery - Trauma Surgery	036152534 (Illinois)	Secondary
2086S0102X	Surgery - Surgical Critical Care	D0086537 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meritus Medical Center	Hagerstown, MD	Hospital
Crozer Chester Medical Center	Upland, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Practices Of Antietam, Llc	2567353865	198
Meritus Medical Center Inc	7113811795	563
Prospect Health Access Network Inc	5698065142	168
St Lukes Physician Group Inc	6709798333	1858

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 Name	Meritus Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950

Entity Name	Medical Practices Of Antietam, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Katherine Kelley, 22 S Greene St, Baltimore, MD 21201-1544 Ph: () -	Katherine Kelley, 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-9878

Reviews and Comments

Surgery Doctors in Baltimore, MD

Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580
Dr. Samantha A Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103
Bruce Robert Gibson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408

Katherine Kelley, - Medicare General Surgery in Baltimore, MD