Roger Casey Kelly, in Flagstaff, AZ - Medicare Emergency Medicine

Roger Casey Kelly, is a medicare enrolled "Emergency Medicine - Hospice And Palliative Medicine" physician in Flagstaff, Arizona. His current practice location is 1215 N Beaver St Ste 203, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2200.

Roger Casey Kelly is licensed to practice in Arizona (license number 011567) 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 1558941179.

Contact Information

	Roger Casey Kelly,
	1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3120
	(928) 773-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Roger Casey Kelly
Gender	Male
Speciality	Emergency Medicine - Hospice And Palliative Medicine
Location	1215 N Beaver St Ste 203, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558941179
Provider Enumeration Date: 04/08/2021
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 4981146545
Enrollment ID: I20240611001420

Medical Identifiers

Medical identifiers for Roger Casey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558941179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS20414 (Florida)	Secondary
207PH0002X	Emergency Medicine - Hospice And Palliative Medicine	011567 (Arizona)	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. Roger Casey Kelly allows following entities to bill medicare on his behalf.

Entity Name	Global Physician Network Llc Series I
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316467525 PECOS PAC ID: 7214202365 Enrollment ID: O20170929000797

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. Roger Casey 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
Roger Casey Kelly, 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Roger Casey Kelly, 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3120 Ph: (928) 773-2200

Reviews and Comments

Emergency Medicine Doctors in Flagstaff, AZ

Thomas Matthew Reeve, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 210-464-7442
Dr. Nathan Lawrence Whitfield, M.D., PH.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-3930
Dr. Michael Ray, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-380-0476 Fax: 928-214-3882
Dr. Kevin Conn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-380-0476 Fax: 928-214-3882
Dr. Edward Clark Hiltner Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 Fax: 928-214-3882
Sarah Joy Ring, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-3930
Dr. Brian C Fuller, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6411

Roger Casey Kelly, - Medicare Emergency Medicine in Flagstaff, AZ