Kelly Dor, in Plantation, FL - Medicare Family Practice

Kelly Dor, is a medicare enrolled "Family Medicine" physician in Plantation, Florida. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Conviva Medical Center Management, Llc and his current practice location is 480 N State Road 7, Plantation, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 791-9580.

Kelly Dor is licensed to practice in Florida (license number ME138840) 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 1215323043.

Contact Information

	Kelly Dor,
	480 N State Road 7, Plantation, FL 33317-2834
	(954) 791-9580
	(888) 498-4463

Map and Direction

Physician's Profile

Full Name	Kelly Dor
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	480 N State Road 7, Plantation, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Dor graduated from medical school in 2007

NPI Data:

NPI Number: 1215323043
Provider Enumeration Date: 04/08/2015
Last Update Date: 03/03/2026

Medicare PECOS Information:

PECOS PAC ID: 7315284452
Enrollment ID: I20210803000367

Medical Identifiers

Medical identifiers for Kelly Dor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215323043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME138840 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	491

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. Kelly Dor allows following entities to bill medicare on his behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Kelly Dor 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
Kelly Dor, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000	Kelly Dor, 480 N State Road 7, Plantation, FL 33317-2834 Ph: (954) 791-9580

Reviews and Comments

Family Medicine Doctors in Plantation, FL

Benjamin Klein, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Pine Island Rd Ste 204, Plantation, FL 33324 Phone: 954-888-3900 Fax: 954-888-3938
Stacey J Oddman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 Sw 10th St Fl 3, Plantation, FL 33324 Phone: 305-689-3627
Dr. Jarrod Marc Frydman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Pine Island Rd, Suite #302, Plantation, FL 33324 Phone: 954-581-8272 Fax: 954-581-8382
Dr. Ken Berger, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10575 Blue Palm St, Plantation, FL 33324 Phone: 416-356-9919
Ira Strickman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10519 Nw 10th St, Plantation, FL 33322 Phone: 954-662-2440
Jetzabell Nortey Mayola, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 82nd Ave Ste 305, Plantation, FL 33324 Phone: 954-533-8353
Carlos Alberto Adams, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 6971 W Sunrise Blvd Ste 201, Plantation, FL 33313 Phone: 786-325-1892

Kelly Dor, - Medicare Family Practice in Plantation, FL