Devin Walter Kelly, PA-C - Medicare Physician Assistant in Jacksonville, FL

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Devin Walter Kelly, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lyerly Baptist Inc and his current practice location is 14540 Old Saint Augustine Rd Ste 2207, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 388-6518.

Devin Walter Kelly is licensed to practice in Florida (license number PA9113409) 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 1871117689.

Contact Information

Devin Walter Kelly, PA-C
14540 Old Saint Augustine Rd Ste 2207,
Jacksonville, FL 32258-7419
(904) 388-6518
(904) 393-7887

Map and Direction




Provider's Profile

Full NameDevin Walter Kelly
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location14540 Old Saint Augustine Rd Ste 2207, Jacksonville, 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:
  • Devin Walter Kelly graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1871117689
  • Provider Enumeration Date: 06/08/2020
  • Last Update Date: 06/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5597181776
  • Enrollment ID: I20200818004154

Medical Identifiers

Medical identifiers for Devin Walter Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871117689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9113409 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical Center JacksonvilleJacksonville, FLHospital
Baptist Medical Center - BeachesJacksonville beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lyerly Baptist Inc983011222672

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. Devin Walter Kelly allows following entities to bill medicare on his behalf.
Entity NameUniversity of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786
Entity NameLyerly Baptist Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851347801
PECOS PAC ID: 9830112226
Enrollment ID: O20060111001171

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. Devin Walter 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 AddressPractice Location Address
Devin Walter Kelly, PA-C
Po Box 746647,
Atlanta, GA 30374-6647

Ph: (904) 202-2092		Devin Walter Kelly, PA-C
14540 Old Saint Augustine Rd Ste 2207,
Jacksonville, FL 32258-7419

Ph: (904) 388-6518

Reviews and Comments


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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.