Dr Malcolm H Kelly Jr, OD is a medicare enrolled "Optometrist" provider in Oxford, Pennsylvania. He went to Pennsylvania College Of Optometry and graduated in 1975 and has 49 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Myeyedr Optometry Of Pennsylvania Llc and his current practice location is
49 S 2nd St, Oxford, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 932-9356.
Dr Malcolm H Kelly Jr is licensed to practice in Pennsylvania (license number OEG000335) 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 1356388060.
Healthcare Provider's Profile
Full Name | Dr Malcolm H Kelly Jr |
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Gender | Male |
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Speciality | Optometry |
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Experience | 49 Years |
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Location | 49 S 2nd St, Oxford, Pennsylvania |
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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:
- Dr Malcolm H Kelly Jr attended and graduated from Pennsylvania College Of Optometry in 1975
NPI Data:
- NPI Number: 1356388060
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 06/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658314935
- Enrollment ID: I20050614000821
Medical Identifiers
Medical identifiers for Dr Malcolm H Kelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356388060 | NPI | - | NPPES |
091164 | Other | PA | MEDICARE ID - GROUP MEDICARE NO. |
OEG000335 | Other | PA | PA STATE LICENSE NO. |
5426540001 | Other | PA | DMERC JURISDICTION A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG000335 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Myeyedr Optometry Of Pennsylvania Llc | 3971884883 | 89 |
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 Malcolm H Kelly Jr allows following entities to bill medicare on his behalf.
Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
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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 Malcolm H Kelly Jr 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 |
Dr Malcolm H Kelly Jr, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dr Malcolm H Kelly Jr, OD 49 S 2nd St, Oxford, PA 19363-1370 Ph: (610) 932-9356 |
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