Dr Kaidden Kelly, DMSC, PA-C - Medicare Physician Assistant in Kailua Kona, HI

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Dr Kaidden Kelly, DMSC, PA-C is a medicare enrolled "Physician Assistant" in Kailua Kona, Hawaii. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Workstar Occupational Health Systems Inc and his current practice location is 75-184 Hualalai Rd Ste 302, Kailua Kona, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 329-0111.

Dr Kaidden Kelly is licensed to practice in Hawaii (license number AMD-785) 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 1083124135.

Contact Information

Dr Kaidden Kelly, DMSC, PA-C
75-184 Hualalai Rd Ste 302,
Kailua Kona, HI 96740-1719
(808) 329-0111
(808) 365-5811

Map and Direction




Provider's Profile

Full NameDr Kaidden Kelly
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location75-184 Hualalai Rd Ste 302, Kailua Kona, Hawaii
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:
  • Dr Kaidden Kelly graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1083124135
  • Provider Enumeration Date: 10/03/2017
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759648249
  • Enrollment ID: I20171208002461

Medical Identifiers

Medical identifiers for Dr Kaidden Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083124135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant AMD-785 (Hawaii)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Workstar Occupational Health Systems Inc872997817615

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. Dr Kaidden Kelly allows following entities to bill medicare on his behalf.
Entity NameWorkstar Occupational Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619989597
PECOS PAC ID: 8729978176
Enrollment ID: O20040318000732
Entity NameMF Med Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407109085
PECOS PAC ID: 0345492955
Enrollment ID: O20121206000019

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. Dr Kaidden 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
Dr Kaidden Kelly, DMSC, PA-C
75-184 Hualalai Rd Ste 302,
Kailua Kona, HI 96740-1719

Ph: (808) 329-0111		Dr Kaidden Kelly, DMSC, PA-C
75-184 Hualalai Rd Ste 302,
Kailua Kona, HI 96740-1719

Ph: (808) 329-0111

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.