Miss Mallory A Kelly, PT, DPT in Twin Lakes, WI - Medicare Physical Therapist In Private Practice Provider

Miss Mallory A Kelly, PT, DPT is a medicare enrolled "Physical Therapist" provider in Twin Lakes, Wisconsin. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 700 N Lake Ave, Twin Lakes, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 877-2124.

Miss Mallory A Kelly is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104340769.

Contact Information

	Miss Mallory A Kelly, PT, DPT
	700 N Lake Ave, Twin Lakes, WI 53181-9436
	(262) 877-2124
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Mallory A Kelly
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	700 N Lake Ave, Twin Lakes, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Mallory A Kelly graduated from medical school in 2017

NPI Data:

NPI Number: 1104340769
Provider Enumeration Date: 07/26/2017
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5597039727
Enrollment ID: I20211122000931

Medical Identifiers

Medical identifiers for Miss Mallory A Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104340769	NPI	-	NPPES
100093769	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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. Miss Mallory A Kelly allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Miss Mallory A 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
Miss Mallory A Kelly, PT, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Miss Mallory A Kelly, PT, DPT 700 N Lake Ave, Twin Lakes, WI 53181-9436 Ph: (262) 877-2124

Reviews and Comments

Physical Therapist in Twin Lakes, WI

Monica E Uselding, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124
Ashley D. Fauth, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 237 E Main St, Twin Lakes, WI 53181 Phone: 262-877-4884 Fax: 262-877-4629
Amanda J Warren, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124
Tina Jesse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124
Emily M. Bartelt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124
Samantha Beck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124

Miss Mallory A Kelly, PT, DPT - Medicare Physical Therapist in Twin Lakes, WI