Mr Sean Thomas Kelly, APRN, AGACNP-BC - Medicare Nurse Practitioner in Tampa, FL

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Mr Sean Thomas Kelly, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Tampa, Florida. His current practice location is 1 Tampa General Cir, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 844-7000.

Mr Sean Thomas Kelly is licensed to practice in Florida (license number APRN11011587) 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 1649864232.

Contact Information

Mr Sean Thomas Kelly, APRN, AGACNP-BC
1 Tampa General Cir,
Tampa, FL 33606-3571
(813) 844-7000
Not Available

Map and Direction




Physician's Profile

Full NameMr Sean Thomas Kelly
GenderMale
SpecialityNurse Practitioner - Adult Health
Location1 Tampa General Cir, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649864232
  • Provider Enumeration Date: 02/24/2021
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123411030
  • Enrollment ID: I20220216001926

Medical Identifiers

Medical identifiers for Mr Sean Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649864232NPI-NPPES
OTHT1OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) APRN11011587 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health APRN11011587 (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. Mr Sean Thomas Kelly allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Service Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130

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. Mr Sean Thomas 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 AddressPractice Location Address
Mr Sean Thomas Kelly, APRN, AGACNP-BC
Po Box 917770,
Orlando, FL 32891-0001

Ph: () -		Mr Sean Thomas Kelly, APRN, AGACNP-BC
1 Tampa General Cir,
Tampa, FL 33606-3571

Ph: (813) 844-7000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.