Kelly S Dercola, MD in Kingston, NY - Medicare Internal Medicine

Kelly S Dercola, MD is a medicare enrolled "Internal Medicine" physician in Kingston, New York. She went to Albany Medical College Of Union University and graduated in 1992 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Nuvance Health Medical Practice, Pc and her current practice location is 368 Broadway, Kingston, New York. You can reach out to her office (for appointments etc.) via phone at (845) 338-2727.

Kelly S Dercola is licensed to practice in New York (license number 195587-1) 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 1376523688.

Contact Information

	Kelly S Dercola, MD
	368 Broadway, Kingston, NY 12401-5144
	(845) 338-2727
	(845) 338-2975

Map and Direction

Physician's Profile

Full Name	Kelly S Dercola
Gender	Female
Speciality	Internal Medicine
Experience	33 Years
Location	368 Broadway, Kingston, New York
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:

Kelly S Dercola attended and graduated from Albany Medical College Of Union University in 1992

NPI Data:

NPI Number: 1376523688
Provider Enumeration Date: 01/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850395625
Enrollment ID: I20100920000117

Medical Identifiers

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

Identifier	Type	State	Issuer
1376523688	NPI	-	NPPES
01565526	Medicaid	NY
117150	Other	NY	MVP HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	195587-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willcare Chha (newburgh)	Newburgh, NY	Home health agency
Americare Certified Special Services, Inc Chha	Brooklyn, NY	Home health agency
Archcare At Home	Valhalla, NY	Home health agency
Vassar Brothers Medical Center	Poughkeepsie, NY	Hospital
Healthalliance Hospital Marys Avenue Campus	Kingston, NY	Hospital
Northern Dutchess Hospital	Rhinebeck, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nuvance Health Medical Practice, Pc	1658468442	511

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 S Dercola allows following entities to bill medicare on her behalf.

Entity Name	Nuvance Health Medical Practice, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436

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 S Dercola 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 S Dercola, MD 368 Broadway, Kingston, NY 12401-5160 Ph: (845) 338-2727	Kelly S Dercola, MD 368 Broadway, Kingston, NY 12401-5144 Ph: (845) 338-2727

Reviews and Comments

Internal Medicine Doctors in Kingston, NY

Dr. Anthony Guerrino, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Grand St, Kingston, NY 12401 Phone: 845-338-1535 Fax: 845-334-9879
Dr. Paul M Reiter, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Marys Ave, Suite 3, Kingston, NY 12401 Phone: 845-339-3663 Fax: 845-339-3629
Charles Kutler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Washington Avr, Kingston, NY 12401 Phone: 845-338-7140 Fax: 845-338-7141
Dr. Ayesha Cheema, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 368 Broadway, Suite 402, Kingston, NY 12401 Phone: 845-334-4336 Fax: 845-334-2746
Dr. Aarathi Nagaraja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Washington Ave, Kingston, NY 12401 Phone: 845-338-7140 Fax: 845-338-7141
Dr. Aneta K Dimova, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Mary's Ave, Suite 3, Kingston, NY 12401 Phone: 845-339-3663 Fax: 845-339-3629
Abul B Khuda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 396 Broadway, Mid Hudson Physicians, Pc, Kingston, NY 12401 Phone: 845-331-3131 Fax: 845-334-2898

Kelly S Dercola, MD - Medicare Internal Medicine in Kingston, NY