Sean Kelley, MD - Medicare Radiology in Jackson, CA

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Sean Kelley, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, California. His current practice location is 200 Mission Blvd, Jackson, California. You can reach out to his office (for appointments etc.) via phone at (209) 223-7500.

Sean Kelley is licensed to practice in California (license number A141999) 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 1194144170.

Contact Information

Sean Kelley, MD
200 Mission Blvd,
Jackson, CA 95642-2564
(209) 223-7500
Not Available

Map and Direction




Physician's Profile

Full NameSean Kelley
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location200 Mission Blvd, Jackson, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194144170
  • Provider Enumeration Date: 04/07/2014
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406180108
  • Enrollment ID: I20190701000768

Medical Identifiers

Medical identifiers for Sean Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194144170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A141999 (California)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. Sean Kelley allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063487122
PECOS PAC ID: 5496668410
Enrollment ID: O20031106000503
Entity NameMother Lode Diagnostic Imaging Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053456061
PECOS PAC ID: 9739176892
Enrollment ID: O20040623001281

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. Sean 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
Sean Kelley, MD
406 S Lexington Dr,
Folsom, CA 95630-6879

Ph: () -		Sean Kelley, MD
200 Mission Blvd,
Jackson, CA 95642-2564

Ph: (209) 223-7500

Reviews and Comments


Radiology Doctors in Jackson, CA


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.