Thomas John Kelly, MD in Louisville, KY - Medicare Physical Medicine & Rehabilitation

Thomas John Kelly, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Louisville, Kentucky. His current practice location is 315 E Broadway Ste 185-c, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 629-5455.

Thomas John Kelly is licensed to practice in Kentucky (license number 43896) 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 1306036975.

Contact Information

	Thomas John Kelly, MD
	315 E Broadway Ste 185-c, Louisville, KY 40202-3700
	(502) 629-5455
	(502) 629-4151

Map and Direction

Physician's Profile

Full Name	Thomas John Kelly
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	315 E Broadway Ste 185-c, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306036975
Provider Enumeration Date: 07/30/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8022142298
Enrollment ID: I20141230002381

Medical Identifiers

Medical identifiers for Thomas John Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306036975	NPI	-	NPPES
7100129640	Medicaid	KY
9608821	Other	KY	CIGNA - NRP
000052153T	Other	KY	HUMANA - NRP
201016740	Medicaid	IN
P00948781	Other	KY	RAILROAD MEDICARE KENTUCKY
000000667398	Other	KY	ANTHEM - NRP
50029614	Other	KY	PASSPORT & PASSPORT ADVTG - NRP
116470	Other	KY	SIHO - NRP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	TP216 (Kentucky)	Secondary
208100000X	Physical Medicine & Rehabilitation	MT190022 (Pennsylvania)	Secondary
208100000X	Physical Medicine & Rehabilitation	43896 (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. Thomas John Kelly allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Thomas John 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
Thomas John Kelly, MD Po Box 950202, Louisville, KY 40295-0202 Ph: (502) 272-5100	Thomas John Kelly, MD 315 E Broadway Ste 185-c, Louisville, KY 40202-3700 Ph: (502) 629-5455

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Louisville, KY

Ms. Alisha Davis, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6000 Hunting Rd, Louisville, KY 40222 Phone: 812-599-6056
Rizwan N Khan, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2137 Dixie Hwy, Louisville, KY 40210 Phone: 502-712-1292 Fax: 502-901-9955
Dr. Warren Joseph Bilkey Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1227 Goss Ave, Louisville, KY 40217 Phone: 502-619-1771 Fax: 502-245-1380
James Jason Miller, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 300 Shelby Station Dr, Louisville, KY 40245 Phone: 502-254-0009 Fax: 502-753-6460
Karen K. Bloom, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18 River Hill Rd, Louisville, KY 40207 Phone: 502-645-1043 Fax: 815-550-2223
Dr. Camilo Castillo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way #1200, Louisville, KY 40202 Phone: 502-584-3377 Fax: 502-584-3480
Ellen Margaret Ballard, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1941 Bishop Ln Ste 402, Louisville, KY 40218 Phone: 502-458-2677 Fax: 502-458-2163

Thomas John Kelly, MD - Medicare Physical Medicine & Rehabilitation in Louisville, KY