Kelly Mcdonough, DO - Medicare Emergency Medicine in Providence, RI

  1. Home
  2. Emergency Medicine
  3. RI
  4. Providence
Kelly Mcdonough, DO is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. She went to University Of New England, College Of Osteo Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Coastal Medical Associates, Steward Emergency Physicians Inc and her current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 274-1122.

Kelly Mcdonough is licensed to practice in Massachusetts (license number 258025) 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 1578859872.

Contact Information

Kelly Mcdonough, DO
101 Dudley St,
Providence, RI 02905-2401
(401) 274-1122
(401) 453-7597

Map and Direction




Physician's Profile

Full NameKelly Mcdonough
GenderFemale
SpecialityEmergency Medicine
Experience13 Years
Location101 Dudley St, Providence, Rhode Island
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:
  • Kelly Mcdonough attended and graduated from University Of New England, College Of Osteo Medicine in 2011
  NPI Data:
  • NPI Number: 1578859872
  • Provider Enumeration Date: 06/24/2011
  • Last Update Date: 11/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052624152
  • Enrollment ID: I20150720000040

Medical Identifiers

Medical identifiers for Kelly Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578859872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 258025 (Massachusetts)Primary
390200000XStudent In An Organized Health Care Education/training Program LP02223 (Rhode Island)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Shore HospitalSouth weymouth, MAHospital
Tufts Medical CenterBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Medical Associates7113029257412
Steward Emergency Physicians Inc0244401404148

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 Mcdonough allows following entities to bill medicare on her behalf.
Entity NameSouth Shore Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134227606
PECOS PAC ID: 4385546217
Enrollment ID: O20040122000304
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057
Entity NameTufts Medical Center Ep Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609015262
PECOS PAC ID: 0446306716
Enrollment ID: O20090929000298
Entity NameSteward Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780971275
PECOS PAC ID: 0244401404
Enrollment ID: O20110919000768

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 Mcdonough 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
Kelly Mcdonough, DO
101 Dudley St, Pho Office,
Providence, RI 02905-2401

Ph: (401) 274-1122		Kelly Mcdonough, DO
101 Dudley St,
Providence, RI 02905-2401

Ph: (401) 274-1122

Reviews and Comments


Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Gregory R Lockhart, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-444-4000    Fax: 401-427-7795
Ian M Jacobson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 330-493-4443    
Dr. Daniel Shanin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903
Phone: 401-444-4000    
Carli Renske Reisdorf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6680    
Dr. Oriane Diana Longerstaey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 704-355-3181    
Rachel Smith Shain, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6489    Fax: 401-444-6662

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.