William R Kelley Jr, MD - Medicare Diagnostic Radiology in Trinity, FL

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William R Kelley Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Trinity, Florida. He went to Indiana University School Of Medicine and graduated in 1980 and has 45 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mori Bean And Brooks Inc, Mori Bean And Brooks Inc and his current practice location is 9330 State Road 54, Trinity, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 399-5800.

William R Kelley Jr is licensed to practice in Florida (license number 159835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780666560.

Contact Information

William R Kelley Jr, MD
9330 State Road 54,
Trinity, FL 34655-1808
(904) 399-5800
Not Available

Map and Direction




Physician's Profile

Full NameWilliam R Kelley Jr
GenderMale
SpecialityDiagnostic Radiology
Experience45 Years
Location9330 State Road 54, Trinity, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William R Kelley Jr attended and graduated from Indiana University School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1780666560
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517860968
  • Enrollment ID: I20040202000057

Medical Identifiers

Medical identifiers for William R Kelley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780666560NPI-NPPES
914673MedicaidAZ
00C517950MedicaidCA
100505339MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 27770 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology C51795 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology 159835 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Medical Center Bayonet PointHudson, FLHospital
Brandon Regional HospitalBrandon, FLHospital
Citrus Memorial HospitalInverness, FLHospital
Oak Hill HospitalBrooksville, FLHospital
South Bay HospitalSun city center, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mori Bean And Brooks Inc8820077878617
Mori Bean And Brooks Inc8820077878617

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. William R Kelley Jr allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20190605002215
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20200331000129
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20210326000778
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20220818001222
Entity NameSimonmed Reno Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240603001678

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. William R Kelley Jr 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
William R Kelley Jr, MD
4825 Hwy 95,
Fort Mohave, AZ 86426-8315

Ph: (760) 326-7225		William R Kelley Jr, MD
9330 State Road 54,
Trinity, FL 34655-1808

Ph: (904) 399-5800

Reviews and Comments


Radiology Doctors in Trinity, FL

Bradford Alan Perez, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 9320 State Road 54, Trinity, FL 34655
Phone: 727-842-8411    Fax: 877-917-2336
Dr. Arthur J Matzkowitz, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 9320 State Road 54, Trinity, FL 34655
Phone: 727-493-2513    Fax: 877-917-2336
Paul Kim,
Radiology
Medicare: Medicare Enrolled
Practice Location: 9330 State Road 54, Trinity, FL 34655
Phone: 727-834-4832    Fax: 727-816-2463
Dr. Vivian D Griffin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 9320 State Road 54, Trinity, FL 34655
Phone: 727-493-2513    Fax: 877-917-2336

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.