Samuel K Kelley, MD - Medicare Psychiatry & Neurology in Paducah, KY

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Samuel K Kelley, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Paducah, Kentucky. His current practice location is 5050 Village Square Dr Ste B, Paducah, Kentucky. You can reach out to his office (for appointments etc.) via phone at (617) 877-8292.

Samuel K Kelley is licensed to practice in Kentucky (license number 59615) 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 1154368199.

Contact Information

Samuel K Kelley, MD
5050 Village Square Dr Ste B,
Paducah, KY 42001-7552
(617) 877-8292
Not Available

Map and Direction




Physician's Profile

Full NameSamuel K Kelley
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location5050 Village Square Dr Ste B, Paducah, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154368199
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 05/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810889813
  • Enrollment ID: I20250501000574

Medical Identifiers

Medical identifiers for Samuel K Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154368199NPI-NPPES
1154368199OtherMANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 72427 (Massachusetts)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 59615 (Kentucky)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. Samuel K Kelley allows following entities to bill medicare on his behalf.
Entity NameEmerald Therapy Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619340387
PECOS PAC ID: 6103241211
Enrollment ID: O20210827002743

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. Samuel K Kelley 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
Samuel K Kelley, MD
5050 Village Square Dr Ste B,
Paducah, KY 42001-7552

Ph: (270) 534-5128		Samuel K Kelley, MD
5050 Village Square Dr Ste B,
Paducah, KY 42001-7552

Ph: (617) 877-8292

Reviews and Comments


Psychiatry & Neurology Doctors in Paducah, KY

Dr. Duncan Edward Darnell, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 425 Broadway St, Paducah, KY 42001
Phone: 270-442-1801    Fax: 270-442-1804
Robert Howard, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 6025 Kentucky Dam Rd, Paducah, KY 42003
Phone: 270-898-4044    
Ronald L Kelley, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 6025 Kentucky Dam Rd, Paducah, KY 42003
Phone: 270-898-4044    Fax: 270-898-4045
Ms. Svetlana Famina, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1532 Lone Oak Rd Ste 345, Paducah, KY 42003
Phone: 270-444-2250    Fax: 270-538-6596
Dr. Robert Ralph Adams, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Marion Veterans Administration Medical Center, 2620 Perkins Creek Dr (paducah Cboc), Paducah, KY 42001
Phone: 866-289-3300    
Niranjan Siva, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003
Phone: 270-538-6700    Fax: 270-538-6755

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.