Mark C Kelley, DO - Medicare Dermatology in Grenada, MS

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Mark C Kelley, DO is a medicare enrolled "Dermatology" physician in Grenada, Mississippi. His current practice location is 1300 Sunset Dr, Suite A, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 227-4463.

Mark C Kelley is licensed to practice in Mississippi (license number 16693) 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 1427004704.

Contact Information

Mark C Kelley, DO
1300 Sunset Dr, Suite A,
Grenada, MS 38901-4086
(662) 227-4463
(662) 226-5257

Map and Direction




Physician's Profile

Full NameMark C Kelley
GenderMale
SpecialityDermatology
Location1300 Sunset Dr, Grenada, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427004704
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 04/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0042285942
  • Enrollment ID: I20040901001144

Medical Identifiers

Medical identifiers for Mark C Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427004704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 16693 (Mississippi)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. Mark C Kelley allows following entities to bill medicare on his behalf.
Entity NameTallahatchie General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646
Entity NameTallahatchie General Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20080618000233

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 C 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 AddressPractice Location Address
Mark C Kelley, DO
1300 Sunset Dr, Suite A,
Grenada, MS 38901-4086

Ph: (662) 227-4463		Mark C Kelley, DO
1300 Sunset Dr, Suite A,
Grenada, MS 38901-4086

Ph: (662) 227-4463

Reviews and Comments


Dermatology Doctors in Grenada, MS

Dr. John A Marascalco, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1300 Sunset Dr, Suite A, Grenada, MS 38901
Phone: 662-227-4463    Fax: 662-226-5257
Dr. Cesar Enrique Guerrero, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 80 S Main St, Grenada, MS 38901
Phone: 662-307-9030    Fax: 662-307-9038

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.