Molly A Kelly, MD is a medicare enrolled "Hospitalist" physician in Roanoke, Indiana. She went to Indiana University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indiana University Health Fort Wayne Physicians, Llc and her current practice location is
10101 Ernst Rd Ste 1200, Roanoke, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 234-5400.
Molly A Kelly is licensed to practice in Indiana (license number 01081728A) 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 1780112870.
Physician's Profile
| Full Name | Molly A Kelly |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 10101 Ernst Rd Ste 1200, Roanoke, Indiana |
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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:
- Molly A Kelly attended and graduated from Indiana University School Of Medicine in 2017
NPI Data:
- NPI Number: 1780112870
- Provider Enumeration Date: 06/01/2017
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719215268
- Enrollment ID: I20190822001414
Medical Identifiers
Medical identifiers for Molly A Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780112870 | NPI | - | NPPES |
| 000001338628 | Other | IN | ANTHEM PTAN |
| 300007459 | Medicaid | IN | |
| 000001338637 | Other | IN | ANTHEM PTAN |
| 000001525751 | Other | IN | ANTHEM PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 01081728A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01081728A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01081728A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
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. Molly A Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
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| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
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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. Molly A 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 |
Molly A Kelly, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Molly A Kelly, MD 10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 Ph: (260) 234-5400 |
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