Michael D Kelley, MD in Evansville, IN - Medicare Emergency Medicine

Michael D Kelley, MD is a medicare enrolled "Emergency Medicine" physician in Evansville, Indiana. His current practice location is 600 Mary St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 450-3405.

Michael D Kelley is licensed to practice in Indiana (license number 01054744A) 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 1700980265.

Contact Information

	Michael D Kelley, MD
	600 Mary St, Evansville, IN 47747-0001
	(812) 450-3405
	(812) 450-3099

Map and Direction

Physician's Profile

Full Name	Michael D Kelley
Gender	Male
Speciality	Emergency Medicine
Location	600 Mary St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700980265
Provider Enumeration Date: 09/12/2006
Last Update Date: 08/21/2012

Medicare PECOS Information:

PECOS PAC ID: 8921130014
Enrollment ID: I20140222000281

Medical Identifiers

Medical identifiers for Michael D Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700980265	NPI	-	NPPES
000000381080	Other	IN	BCBS - GATEWAY
076673	Other	IN	HAMP #
7127259	Other	IN	AETNA #
000000212792	Other	IN	BCBS - MARY STREET
200353450	Medicaid	IN
1973034	Other	IN	FIRST HEALTH #
470324	Other	IN	HEALTHLINK #
64036205	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01054744A (Indiana)	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. Michael D Kelley allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Entity Name	Dhhs Phs Naihs Crownpoint Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

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. Michael D 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
Michael D Kelley, MD Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-6815	Michael D Kelley, MD 600 Mary St, Evansville, IN 47747-0001 Ph: (812) 450-3405

Reviews and Comments

Emergency Medicine Doctors in Evansville, IN

Dr. Matthew Christopher Gilbert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405 Fax: 812-450-3099
Sonia Denise Winslett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 S Lincoln Park Dr, Apt D, Evansville, IN 47714 Phone: 507-254-8228
Audrey Ann Bickel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405
Lori E Sieboldt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099
Lindsay Yoder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405
Michael Melbardis, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-5000
Brandon T Charlton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099

Michael D Kelley, MD - Medicare Emergency Medicine in Evansville, IN