Dr Andrew Wayne Kelly, DDS in Greensboro, NC

Dr Andrew Wayne Kelly, DDS is a medicare enrolled "Dentist - General Practice" provider in Greensboro, North Carolina. His current practice location is 5509b W Friendly Ave Ste 200, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 766-7966.

Dr Andrew Wayne Kelly is licensed to practice in North Carolina (license number 7350) 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 1992888242.

Contact Information

	Dr Andrew Wayne Kelly, DDS
	5509b W Friendly Ave Ste 200, Greensboro, NC 27410-4279
	(336) 766-7966
	(877) 840-4367

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Wayne Kelly
Gender	Male
Speciality	Dentist - General Practice
Location	5509b W Friendly Ave Ste 200, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992888242
Provider Enumeration Date: 10/23/2006
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0749617330
Enrollment ID: I20200220000874

Medical Identifiers

Medical identifiers for Dr Andrew Wayne Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992888242	NPI	-	NPPES
1932611092	Medicaid	NC
82-3139362	Other		IRS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	35919 (California)	Secondary
1223G0001X	Dentist - General Practice	7350 (North Carolina)	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. Dr Andrew Wayne Kelly allows following entities to bill medicare on his behalf.

Entity Name	A W Kelly Dds Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932611092 PECOS PAC ID: 7012344609 Enrollment ID: O20200220000730

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 Andrew Wayne 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
Dr Andrew Wayne Kelly, DDS 137 N Hiddenbrooke Dr, Advance, NC 27006-7299 Ph: (336) 766-7966	Dr Andrew Wayne Kelly, DDS 5509b W Friendly Ave Ste 200, Greensboro, NC 27410-4279 Ph: (336) 766-7966

Reviews and Comments

Dentist in Greensboro, NC

Dr. Daniel Ralph Hobbs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3619 Liberty Rd, Greensboro, NC 27406 Phone: 336-378-1401 Fax: 336-378-0411
Dr. Kayen Kiran Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 Yanceyville St, Greensboro, NC 27405 Phone: 336-273-9759
Dr. Mark Jay Katz, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 2018 New Garden Rd Ste A, Greensboro, NC 27410 Phone: 336-286-5800 Fax: 336-286-5801
Dominick Joseph Grillo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2733 Horse Pen Creek Rd Ste 107, Greensboro, NC 27410 Phone: 336-854-9270
Dr. James H. Tanner, D.D.S., M.S. Dentist Medicare: Medicare Enrolled Practice Location: 1602 Benjamin Pkwy, Greensboro, NC 27408 Phone: 336-545-9084 Fax: 336-545-5679
Caitlin Null, DMD Dentist Medicare: Medicare Enrolled Practice Location: 510 Nicholas Rd Ste F, Greensboro, NC 27409 Phone: 336-387-9168
Dr. George E. Hanna, Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 612 Pasteur Dr, Ste.101, Greensboro, NC 27403 Phone: 336-292-1990 Fax: 336-292-4738

Dr Andrew Wayne Kelly, DDS - Medicare Dentist in Greensboro, NC