Timothy L Kelly, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Redmond, Oregon. His current practice location is
732 Sw 23rd St, Redmond, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 548-7483.
Timothy L Kelly is licensed to practice in Washington (license number MD00041959) 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 1992798169.
Physician's Profile
| Full Name | Timothy L Kelly |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 732 Sw 23rd St, Redmond, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992798169
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648222927
- Enrollment ID: I20050215000434
Medical Identifiers
Medical identifiers for Timothy L Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992798169 | NPI | - | NPPES |
| 8358756 | Medicaid | WA | |
| P00326179 | Other | | RR MEDICARE |
| 8905947 | Other | WA | CRIME VICTIMS |
| 0197446 | Other | WA | LABOR & IND |
| 213668 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | MD00041959 (Washington) | 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. Timothy L Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Hospice Of Redmond |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285256776 PECOS PAC ID: 1759535933 Enrollment ID: O20200722003073 |
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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. Timothy L 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 |
Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 | Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 |
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