Samuel Kelly, in Waco, TX - Medicare Anesthesiology Assistant

Samuel Kelly, is a medicare enrolled "Anesthesiologist Assistant" in Waco, Texas. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Cleveland Clinic and his current practice location is 100 Hillcrest Medical Blvd, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 202-2000.

Samuel Kelly is licensed to practice in Texas (license number 32697602) 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 1013542372.

Contact Information

	Samuel Kelly,
	100 Hillcrest Medical Blvd, Waco, TX 76712-8897
	(254) 202-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Kelly
Gender	Male
Speciality	Anesthesiology Assistant
Experience	6 Years
Location	100 Hillcrest Medical Blvd, Waco, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Kelly graduated from nursing school in 2020

NPI Data:

NPI Number: 1013542372
Provider Enumeration Date: 03/06/2020
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0345661369
Enrollment ID: I20230202001108

Medical Identifiers

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

Identifier	Type	State	Issuer
1013542372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	32697602 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hillcrest Hospital	Mayfield heights, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleveland Clinic	1850203555	6184

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. Samuel Kelly allows following entities to bill medicare on his behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Samuel 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
Samuel Kelly, Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111	Samuel Kelly, 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-2000

Reviews and Comments

Anesthesiologist Assistant Nurses in Waco, TX

Daniel Roy Beane, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849
Miguel Aguirre, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849
Whitney B Jasso, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-5800
Sarah Newell, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000
Mrs. Rebecca Jane Osborne, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-214-7563
Kayla Imbrogno, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-724-2111 Fax: 202-269-7160

Samuel Kelly, - Medicare Anesthesiology Assistant in Waco, TX