Sean Christopher Kelly, MD in Ukiah, CA - Medicare Orthopaedic Surgery

Sean Christopher Kelly, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Ukiah, California. His current practice location is 260 Hospital Dr Ste 107, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (707) 467-5278.

Sean Christopher Kelly is licensed to practice in California (license number A160318) 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 1679929871.

Contact Information

	Sean Christopher Kelly, MD
	260 Hospital Dr Ste 107, Ukiah, CA 95482-4568
	(707) 467-5278
	(707) 463-7373

Map and Direction

Physician's Profile

Full Name	Sean Christopher Kelly
Gender	Male
Speciality	Orthopaedic Surgery - Sports Medicine
Location	260 Hospital Dr Ste 107, Ukiah, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679929871
Provider Enumeration Date: 05/06/2016
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2163715202
Enrollment ID: I20240923000728

Medical Identifiers

Medical identifiers for Sean Christopher Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679929871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	289792 (New York)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	A160318 (California)	Primary
208600000X	Surgery	R75527 (Arizona)	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. Sean Christopher Kelly allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Christopher 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
Sean Christopher Kelly, MD 260 Hospital Dr Ste 107, Ukiah, CA 95482-4568 Ph: (707) 467-5278	Sean Christopher Kelly, MD 260 Hospital Dr Ste 107, Ukiah, CA 95482-4568 Ph: (707) 467-5278

Reviews and Comments

Orthopaedic Surgery Doctors in Ukiah, CA

Dr. Scott Thomas Gherini, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 721 S Dora St, Ukiah, CA 95482 Phone: 707-367-8430
Mr. Thomas Eugene Kilkenny Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1165 S Dora St, Suite C1, Ukiah, CA 95482 Phone: 707-468-0471 Fax: 707-468-1182
Dr. Ephraim Dickinson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 107, Ukiah, CA 95482 Phone: 707-467-5278
Dr. Kenneth J Hoek, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 308 Jefferson Ln, Ukiah, CA 95482 Phone: 707-463-3571 Fax: 707-467-0372
Dr. Aldis Baltins, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1252 Airport Park Blvd, Suite C7, Ukiah, CA 95482 Phone: 707-468-0471 Fax: 707-468-1182
Dr. Carl Henning, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111

Sean Christopher Kelly, MD - Medicare Orthopaedic Surgery in Ukiah, CA