Padraig Kelly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-9400.
Padraig Kelly is licensed to practice in * (Not Available) (license number ) 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 1568181667.
Physician's Profile
Full Name | Padraig Kelly |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1215 Lee St, Charlottesville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568181667
- Provider Enumeration Date: 08/23/2022
- Last Update Date: 07/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739546417
- Enrollment ID: I20230612002214
Medical Identifiers
Medical identifiers for Padraig Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568181667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 0109542118 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
2085B0100X | Radiology - Body Imaging | P114929 (New York) | Secondary |
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. Padraig Kelly allows following entities to bill medicare on his behalf.
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
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Entity Name | University Of Virginia Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720233596 PECOS PAC ID: 2567479405 Enrollment ID: O20090421000339 |
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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. Padraig 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 |
Padraig Kelly, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: (434) 295-1000 | Padraig Kelly, MD 1215 Lee St, Charlottesville, VA 22908-6007 Ph: (434) 924-9400 |
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