Kelley Goryl, DO is a medicare enrolled "General Practice" physician in Chesterfield, Michigan. Her current practice location is
32743 23 Mile Rd Ste 110, Chesterfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 725-3444.
Kelley Goryl is licensed to practice in Michigan (license number 5101023222) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487182952.
Physician's Profile
| Full Name | Kelley Goryl |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
|---|
| Location | 32743 23 Mile Rd Ste 110, Chesterfield, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487182952
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759651805
- Enrollment ID: I20210824002343
Medical Identifiers
Medical identifiers for Kelley Goryl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487182952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 5101023222 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 34.014591 (Ohio) | Secondary |
| 208D00000X | General Practice | 5101023222 (Michigan) | Primary |
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. Kelley Goryl allows following entities to bill medicare on her behalf.
| Entity Name | Mclaren Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
|---|
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
|---|
| Entity Name | Degara App Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
|---|
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. Kelley Goryl 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 |
Kelley Goryl, DO 32743 23 Mile Rd Ste 210, Chesterfield, MI 48047-2176 Ph: (586) 725-3444 | Kelley Goryl, DO 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047-2082 Ph: (586) 725-3444 |
Reviews and Comments