Timothy Stephen Kelly, MD in Philadelphia, PA

Timothy Stephen Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 700 Spruce Street, Pine Basement West, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 829-3358.

Timothy Stephen Kelly is licensed to practice in Pennsylvania (license number MD484814) 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 1073140497.

Contact Information

	Timothy Stephen Kelly, MD
	700 Spruce Street, Pine Basement West, Philadelphia, PA 19106-4022
	(215) 829-3358
	(215) 829-3438

Map and Direction

Physician's Profile

Full Name	Timothy Stephen Kelly
Gender	Male
Speciality	Emergency Medicine
Location	700 Spruce Street, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073140497
Provider Enumeration Date: 03/25/2020
Last Update Date: 08/27/2025

Medicare PECOS Information:

PECOS PAC ID: 8628512274
Enrollment ID: I20240708000294

Medical Identifiers

Medical identifiers for Timothy Stephen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073140497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083A0300X	Preventive Medicine - Addiction Medicine	MD484814 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	MD484814 (Pennsylvania)	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 Stephen Kelly allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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 Stephen 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 Stephen Kelly, MD 700 Spruce Street, Philadelphia, PA 19106-4022 Ph: (215) 829-3358	Timothy Stephen Kelly, MD 700 Spruce Street, Pine Basement West, Philadelphia, PA 19106-4022 Ph: (215) 829-3358

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Ashley Bonsu, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494

Timothy Stephen Kelly, MD - Medicare Emergency Medicine in Philadelphia, PA