Melissa Marie Kelly, DO is a medicare enrolled "Hospitalist" physician in Bolingbrook, Illinois. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Advance Inpatient Medicine Llc and her current practice location is
1000 Remington Blvd, Suite 200 Attn: Aim, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 312-7755.
Melissa Marie Kelly is licensed to practice in Illinois (license number 036-128764) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104057843.
Physician's Profile
| Full Name | Melissa Marie Kelly |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 17 Years |
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| Location | 1000 Remington Blvd, Bolingbrook, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Melissa Marie Kelly graduated from medical school in 2009
NPI Data:
- NPI Number: 1104057843
- Provider Enumeration Date: 07/29/2009
- Last Update Date: 03/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183877236
- Enrollment ID: I20130123000498
Medical Identifiers
Medical identifiers for Melissa Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104057843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 036.128764 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036-128764 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Advance Inpatient Medicine Llc | 8022305697 | 42 |
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. Melissa Marie Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Suburban Pulmonary & Sleep Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649283896 PECOS PAC ID: 3476531088 Enrollment ID: O20040709001417 |
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| Entity Name | Advance Inpatient Medicine LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265989875 PECOS PAC ID: 8022305697 Enrollment ID: O20160926000797 |
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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. Melissa Marie 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 |
Melissa Marie Kelly, DO 1000 Remington Blvd, Suite 200 Attn: Aim, Bolingbrook, IL 60440-5114 Ph: (630) 312-7755 | Melissa Marie Kelly, DO 1000 Remington Blvd, Suite 200 Attn: Aim, Bolingbrook, IL 60440-5114 Ph: (630) 312-7755 |
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