Mark Joseph Kelly, MD in Fort Myers, FL

Mark Joseph Kelly, MD is a medicare enrolled "Urology" physician in Fort Myers, Florida. His current practice location is 8925 Colonial Center Dr Ste 2001, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 396-8930.

Mark Joseph Kelly is licensed to practice in Florida (license number ME157212) 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 1093889263.

Contact Information

	Mark Joseph Kelly, MD
	8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813
	(239) 396-8930
	(239) 396-8932

Map and Direction

Physician's Profile

Full Name	Mark Joseph Kelly
Gender	Male
Speciality	Urology
Location	8925 Colonial Center Dr Ste 2001, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093889263
Provider Enumeration Date: 11/20/2006
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8628101599
Enrollment ID: I20100728001028

Medical Identifiers

Medical identifiers for Mark Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093889263	NPI	-	NPPES
1598827826	Other		INCORPORATION NPI
120219800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	G55252 (California)	Secondary
208800000X	Urology	ME157212 (Florida)	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 Joseph Kelly allows following entities to bill medicare on his behalf.

Entity Name	Mark J Kelly Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598827826 PECOS PAC ID: 1557494523 Enrollment ID: O20100728000972

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 Joseph 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
Mark Joseph Kelly, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 396-8930	Mark Joseph Kelly, MD 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 Ph: (239) 396-8930

Reviews and Comments

Urology Doctors in Fort Myers, FL

Jaqueline Sousa Carvalho, FNP-BC Urology Medicare: Accepting Medicare Assignments Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117
Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345
Brett Michael Giblin, Urology Medicare: Accepting Medicare Assignments Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610

Mark Joseph Kelly, MD - Medicare Urology in Fort Myers, FL