Michael R Kelly, MD in Fairhaven, MA - Medicare Internal Medicine

Michael R Kelly, MD is a medicare enrolled "Pediatrics" physician in Fairhaven, Massachusetts. He went to University Of Massachusetts Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southcoast Physicians Group Inc and his current practice location is 208 Mill Rd, Fairhaven, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 758-3781.

Michael R Kelly is licensed to practice in Massachusetts (license number 243308) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679780761.

Contact Information

	Michael R Kelly, MD
	208 Mill Rd, Fairhaven, MA 02719-5208
	(508) 758-3781
	(508) 758-4455

Map and Direction

Physician's Profile

Full Name	Michael R Kelly
Gender	Male
Speciality	Internal Medicine
Experience	18 Years
Location	208 Mill Rd, Fairhaven, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael R Kelly attended and graduated from University Of Massachusetts Medical School in 2006

NPI Data:

NPI Number: 1679780761
Provider Enumeration Date: 05/17/2007
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 6103019286
Enrollment ID: I20101021000393

Medical Identifiers

Medical identifiers for Michael R Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679780761	NPI	-	NPPES
110086557A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	243308 (Massachusetts)	Secondary
208000000X	Pediatrics	243308 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southcoast Visiting Nurse Association Inc	Fairhaven, MA	Home health agency
Southcoast Hospitals Group	Fall river, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southcoast Physicians Group Inc	0749171957	746

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 R Kelly allows following entities to bill medicare on his behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

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 R 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
Michael R Kelly, MD 200 Mill Rd, Ste 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000	Michael R Kelly, MD 208 Mill Rd, Fairhaven, MA 02719-5208 Ph: (508) 758-3781

Reviews and Comments

Pediatrics Doctors in Fairhaven, MA

Cynthia Louise Fox, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-996-9333
Mrs. Lily E Khoury, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-996-9333 Fax: 508-996-3443
Audrey J Webb, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-966-9333
Dr. David S Chesney, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-758-3781 Fax: 508-758-4455
Dr. Anna A Ward, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-996-9333 Fax: 508-996-3443
Matthew A Shurtleff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-996-9333
Dr. Saba Adel Shamoon-michaud, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-996-9333 Fax: 508-996-3443

Michael R Kelly, MD - Medicare Internal Medicine in Fairhaven, MA