Ian Christopher Kelley, is a medicare enrolled "Physical Therapist" provider in Vicksburg, Michigan. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Ivyrehab Michigan Llc and his current practice location is
13329 Portage Rd, Vicksburg, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 649-2400.
Ian Christopher Kelley is licensed to practice in Michigan (license number 5501302420) 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 1821701194.
Healthcare Provider's Profile
| Full Name | Ian Christopher Kelley |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 13329 Portage Rd, Vicksburg, Michigan |
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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. |
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Medical Education and Training:
- Ian Christopher Kelley graduated from medical school in 2022
NPI Data:
- NPI Number: 1821701194
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810367687
- Enrollment ID: I20230112001626
Medical Identifiers
Medical identifiers for Ian Christopher Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821701194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5501302420 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ivyrehab Michigan Llc | 6901165893 | 124 |
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. Ian Christopher Kelley allows following entities to bill medicare on his behalf.
| Provider Name | Ivyrehab Michigan Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1104337120
PECOS PAC ID: 6901165893
Enrollment ID: O20180123001245 |
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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. Ian Christopher Kelley 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 |
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Ian Christopher Kelley,
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224
Ph: () - | Ian Christopher Kelley,
13329 Portage Rd,
Vicksburg, MI 49097-9496
Ph: (269) 649-2400 |
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