Mark A Kelley, MD is a
Internal Medicine - Pulmonary Disease physician based in Marshfield, Massachusetts. Mark A Kelley is licensed to practice in Michigan (license number 076453) and his current practice location is 6 Kent Ave, Marshfield, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(248) 521-7181.
NPI number for Mark A Kelley is 1649348194 and his current mailing address is 6 Kent Ave, Marshfield, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649348194.
Physician's Profile
| Full Name | Mark A Kelley |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine - Pulmonary Disease |
|---|
| Location | 6 Kent Ave, Marshfield, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649348194
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 05/06/2019
Medical Identifiers
Medical identifiers for Mark A Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649348194 | NPI | - | NPPES |
| 425232910 | Medicaid | MI | |
| MK076453 | Other | | CHAMPUS-CHAMPUS |
| 290H264420 | Other | | BLUE CROSS-BLUE CROSS |
| MK076453 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 076453 (Michigan) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 076453 (Michigan) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 076453 (Michigan) | Primary |
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. Mark A Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mark A Kelley, MD 6 Kent Ave, Marshfield, MA 02050-3079 Ph: () - | Mark A Kelley, MD 6 Kent Ave, Marshfield, MA 02050 Ph: (248) 521-7181 |
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