Kerry Kelly, MD - Medicare Family Practice in Staten Island, NY

Kerry Kelly, MD is a medicare enrolled "Family Medicine" physician in Staten Island, New York. She went to Warren Alpert Medical School Of Brown University and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Physicians Of University Hospital Pc and her current practice location is 545 Clawson St, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 667-1477.

Kerry Kelly is licensed to practice in New York (license number 137284) 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 1598750770.

Contact Information

Kerry Kelly, MD
545 Clawson St,
Staten Island, NY 10306-4251
(718) 667-1477
Not Available

Map and Direction




Physician's Profile

Full NameKerry Kelly
GenderFemale
SpecialityFamily Practice
Experience47 Years
Location545 Clawson St, Staten Island, 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:
  • Kerry Kelly attended and graduated from Warren Alpert Medical School Of Brown University in 1977
  NPI Data:
  • NPI Number: 1598750770
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799809596
  • Enrollment ID: I20100831000853

Medical Identifiers

Medical identifiers for Kerry Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598750770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 137284 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Staten Island University HospitalStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Of University Hospital Pc589087754245

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. Kerry Kelly allows following entities to bill medicare on her behalf.
Entity NameUniversity Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104872134
PECOS PAC ID: 0547157356
Enrollment ID: O20040304000265
Entity NamePhysicians Of University Hospital Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417901323
PECOS PAC ID: 5890877542
Enrollment ID: O20080204000002

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. Kerry Kelly 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
Kerry Kelly, MD
545 Clawson St,
Staten Island, NY 10306-4251

Ph: (718) 667-1477
Kerry Kelly, MD
545 Clawson St,
Staten Island, NY 10306-4251

Ph: (718) 667-1477

Reviews and Comments


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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.