Brendan S Kelly, OD in Detroit Lakes, MN - Medicare Optometry Provider

Brendan S Kelly, OD is a medicare enrolled "Optometrist" provider in Detroit Lakes, Minnesota. He went to Pacific University - College Of Optometry and graduated in 2007 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 1234 Washington Ave Ste A, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 846-2258.

Brendan S Kelly is licensed to practice in Minnesota (license number 3999) 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 1689873275.

Contact Information

	Brendan S Kelly, OD
	1234 Washington Ave Ste A, Detroit Lakes, MN 56501-3906
	(218) 846-2258
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brendan S Kelly
Gender	Male
Speciality	Optometry
Experience	18 Years
Location	1234 Washington Ave Ste A, Detroit Lakes, Minnesota
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:

Brendan S Kelly attended and graduated from Pacific University - College Of Optometry in 2007

NPI Data:

NPI Number: 1689873275
Provider Enumeration Date: 07/13/2007
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3870687148
Enrollment ID: I20081020000217

Medical Identifiers

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

Identifier	Type	State	Issuer
1689873275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2604 (Colorado)	Secondary
152W00000X	Optometrist	666 (North Dakota)	Secondary
152W00000X	Optometrist	3999 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1125

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. Brendan S Kelly allows following entities to bill medicare on his behalf.

Provider Name	Sanford Medical Center Fargo
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Brendan S 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
Brendan S Kelly, OD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Brendan S Kelly, OD 1234 Washington Ave Ste A, Detroit Lakes, MN 56501-3906 Ph: (218) 846-2258

Reviews and Comments

Optometrist in Detroit Lakes, MN

Alexander Earl Moses, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Morrison Eye Care Optometrists, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1244 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-2020 Fax: 218-847-6165
Dr. Gina Hansen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1234 Washington Ave Ste A, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dale K Hoffmann, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1583 Highway 10 W, Detroit Lakes, MN 56501 Phone: 218-847-7245 Fax: 218-847-8453
Joy M Quitberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dale Hoffmann, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1583 Highway 10 W, Detroit Lakes, MN 56501 Phone: 218-847-7245 Fax: 218-847-8453

Brendan S Kelly, OD - Medicare Optometrist in Detroit Lakes, MN