Kathleen Kelley, MD in South Bend, IN

Kathleen Kelley, MD is a medicare enrolled "Dermatology" physician in South Bend, Indiana. She went to Indiana University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Cardinal Dermatology Llc and her current practice location is 4322 S Lafayette Blvd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 391-1111.

Kathleen Kelley is licensed to practice in Indiana (license number 01082520A) 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 1245626225.

Contact Information

	Kathleen Kelley, MD
	4322 S Lafayette Blvd, South Bend, IN 46614
	(574) 391-1111
	(574) 859-5040

Map and Direction

Physician's Profile

Full Name	Kathleen Kelley
Gender	Female
Speciality	Dermatology
Experience	10 Years
Location	4322 S Lafayette Blvd, South Bend, Indiana
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:

Kathleen Kelley attended and graduated from Indiana University School Of Medicine in 2015

NPI Data:

NPI Number: 1245626225
Provider Enumeration Date: 04/07/2015
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2062722861
Enrollment ID: I20190919003064

Medical Identifiers

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

Identifier	Type	State	Issuer
1245626225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01082520A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardinal Dermatology Llc	0042741746	6

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

Entity Name	Cardinal Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174390926 PECOS PAC ID: 0042741746 Enrollment ID: O20241004003456

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. Kathleen 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
Kathleen Kelley, MD 1602 Wayne St, South Bend, IN 46615-1334 Ph: () -	Kathleen Kelley, MD 4322 S Lafayette Blvd, South Bend, IN 46614 Ph: (574) 391-1111

Reviews and Comments

Dermatology Doctors in South Bend, IN

Linda Higginbotham, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Dr. Luiz C Pantalena Filho, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4322 S Lafayette Blvd, South Bend, IN 46614 Phone: 574-391-1111 Fax: 574-859-5040
Dr. Holly L Hake-harris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208
Dr. Cynthia E Mayfield, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410
Dr. Mary K Harder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208

Kathleen Kelley, MD - Medicare Dermatology in South Bend, IN