Thomas M Kelly, CRNA in Philadelphia, PA - Medicare Nurse Anesthetist, Certified Registered

Thomas M Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. His current practice location is 111 S 11th St, Suite 8490, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-6161.

Thomas M Kelly is licensed to practice in Pennsylvania (license number RN225046L) 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 1679507560.

Contact Information

	Thomas M Kelly, CRNA
	111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824
	(215) 955-6161
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas M Kelly
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	111 S 11th St, 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: 1679507560
Provider Enumeration Date: 07/10/2006
Last Update Date: 10/01/2015

Medicare PECOS Information:

PECOS PAC ID: 2163410366
Enrollment ID: I20040505001068

Medical Identifiers

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

Identifier	Type	State	Issuer
1679507560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN225046L (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. Thomas M Kelly allows following entities to bill medicare on his behalf.

Entity Name	North American Partners In Anesthesia, Pennsylvania , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040

Entity Name	Suburban Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795

Entity Name	Capital Anesthesia Solutions Of Philadelphia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407402365 PECOS PAC ID: 5597197046 Enrollment ID: O20191121001321

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. Thomas M 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
Thomas M Kelly, CRNA 111 S 11th St, Philadelphia, PA 19107-4824 Ph: () -	Thomas M Kelly, CRNA 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-6161

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310
Heather Moore, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-4000
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599

Thomas M Kelly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Philadelphia, PA