Lawrence J Kelly, MD in Surprise, AZ - Medicare Orthopedic Surgery

Lawrence J Kelly, MD is a medicare enrolled "Orthopaedic Surgery" physician in Surprise, Arizona. He went to University Of Nevada School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Banner Physician Specialists Arizona Llc, Bhsm Rehabilitation Llc and his current practice location is 12361 W Bola Dr, Suite 100, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-5626.

Lawrence J Kelly is licensed to practice in Arizona (license number 27172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124014758.

Contact Information

	Lawrence J Kelly, MD
	12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021
	(623) 584-5626
	(623) 584-8998

Map and Direction

Physician's Profile

Full Name	Lawrence J Kelly
Gender	Male
Speciality	Orthopedic Surgery
Experience	34 Years
Location	12361 W Bola Dr, Surprise, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lawrence J Kelly attended and graduated from University Of Nevada School Of Medicine in 1990

NPI Data:

NPI Number: 1124014758
Provider Enumeration Date: 09/20/2005
Last Update Date: 06/06/2016

Medicare PECOS Information:

PECOS PAC ID: 8729037403
Enrollment ID: I20050120000211

Medical Identifiers

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

Identifier	Type	State	Issuer
1124014758	NPI	-	NPPES
5920416	Other	AZ	AETNA
P00188666	Other	AZ	RAILROAD MEDICARE
2036792	Other	AZ	UNITED HEALTHCARE
2Z1651	Other	AZ	HEALTHNET
1124014758	Other	AZ	AHCCCS
P0836100	Other	AZ	BCBS OUT OF AREA
514829	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	27172 (Arizona)	Primary
207XX0005X	Orthopaedic Surgery - Sports Medicine	35083 (Arizona)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Boswell Medical Center	Sun city, AZ	Hospital
Banner Del E. Webb Medical Center	Sun city west, AZ	Hospital
Banner Estrella Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Physician Specialists Arizona Llc	6204002272	258
Bhsm Rehabilitation Llc	2062773138	1258

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

Entity Name	Banner Physician Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

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. Lawrence 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
Lawrence J Kelly, MD 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626	Lawrence J Kelly, MD 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626

Reviews and Comments

Orthopaedic Surgery Doctors in Surprise, AZ

David A Rand, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374 Phone: 623-374-7774 Fax: 855-420-6361
Martin G Sterusky, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr, Suite100, Surprise, AZ 85378 Phone: 623-584-5626 Fax: 623-584-8998
Robert C Waldrip, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12361 W Bola Dr, Suite 100, Surprise, AZ 85378 Phone: 623-584-5626 Fax: 623-544-9122

Lawrence J Kelly, MD - Medicare Orthopedic Surgery in Surprise, AZ