Kevin J Kelly, MD in Fort Wayne, IN - Medicare Internal Medicine

Kevin J Kelly, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fort Wayne, Indiana. His current practice location is 11108 Parkview Circle Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-5700.

Kevin J Kelly is licensed to practice in Indiana (license number 01032406A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982606315.

Contact Information

	Kevin J Kelly, MD
	11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730
	(260) 266-5700
	(260) 266-5920

Map and Direction

Physician's Profile

Full Name	Kevin J Kelly
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	11108 Parkview Circle Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982606315
Provider Enumeration Date: 08/15/2005
Last Update Date: 11/29/2016

Medicare PECOS Information:

PECOS PAC ID: 2860582061
Enrollment ID: I20090302000459

Medical Identifiers

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

Identifier	Type	State	Issuer
1982606315	NPI	-	NPPES
060071114	Other	OH	RR MEDICARE
06199	Other	OH	MEDICAID OHIO PARAMONT
P00786817	Other	IN	R.R. MEDICARE
P00846125	Other	OH	MEDICARE RAILROAD
000000641087	Other	IN	ANTHEM
100360760	Medicaid	IN
0522401	Medicaid	OH
060070567	Other	IN	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	01032406A (Indiana)	Primary

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. Kevin J Kelly allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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. Kevin J 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 Address	Practice Location Address
Kevin J Kelly, MD 3926 New Vision Dr, Suite 1, Fort Wayne, IN 46845-1712 Ph: (260) 373-9705	Kevin J Kelly, MD 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 Ph: (260) 266-5700

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Kevin J Kelly, MD - Medicare Internal Medicine in Fort Wayne, IN