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

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 32 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 NameKelly S Dercola
GenderFemale
SpecialityInternal Medicine
Experience32 Years
Location368 Broadway, Kingston, New York
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 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.
IdentifierTypeStateIssuer
1376523688NPI-NPPES
01565526MedicaidNY
117150OtherNYMVP HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 195587-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Willcare Chha (newburgh)Newburgh, NYHome health agency
Archcare At HomeValhalla, NYHome health agency
Hudson Valley HospicePoughkeepsie, NYHospice
Vassar Brothers Medical CenterPoughkeepsie, NYHospital
Northern Dutchess HospitalRhinebeck, NYHospital
Healthalliance Hospital Marys Avenue CampusKingston, NYHospital
Ellenville Regional HospitalEllenville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice, Pc1658468442441

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 NameNuvance Health Medical Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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.