Manuel R Kelley, MD in Pine Bluff, AR - Medicare Family Practice

Manuel R Kelley, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. He went to University Of Colorado School Of Medicine, Denver and graduated in 1976 and has 49 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jefferson Comprehensive Care System, Inc and his current practice location is 1101 Tennessee St, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 543-2380.

Manuel R Kelley is licensed to practice in Arkansas (license number C-5328) 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 1083670830.

Contact Information

	Manuel R Kelley, MD
	1101 Tennessee St, Pine Bluff, AR 71601-5801
	(870) 543-2380
	(870) 535-4716

Map and Direction

Physician's Profile

Full Name	Manuel R Kelley
Gender	Male
Speciality	Family Practice
Experience	49 Years
Location	1101 Tennessee St, Pine Bluff, Arkansas
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:

Manuel R Kelley attended and graduated from University Of Colorado School Of Medicine, Denver in 1976

NPI Data:

NPI Number: 1083670830
Provider Enumeration Date: 04/21/2006
Last Update Date: 09/29/2010

Medicare PECOS Information:

PECOS PAC ID: 1951338581
Enrollment ID: I20050725001216

Medical Identifiers

Medical identifiers for Manuel R Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083670830	NPI	-	NPPES
1159400000	Other	AR	QUAL CHOICE
52821	Other	AR	MEDICARE
0120403	Other	AR	UNITED HEALTH CARE
103173001	Medicaid	AR
C68619	Other	AR	UPIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C-5328 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson Comprehensive Care System, Inc	5193634509	10

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. Manuel R Kelley allows following entities to bill medicare on his behalf.

Entity Name	Jefferson Comprehensive Care System, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154386597 PECOS PAC ID: 5193634509 Enrollment ID: O20040603001458

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. Manuel R Kelley 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
Manuel R Kelley, MD Po Box 1285, Pine Bluff, AR 71613-1285 Ph: (870) 543-2380	Manuel R Kelley, MD 1101 Tennessee St, Pine Bluff, AR 71601-5801 Ph: (870) 543-2380

Reviews and Comments

Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594
Dr. Sree Chellappan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716

Manuel R Kelley, MD - Medicare Family Practice in Pine Bluff, AR