Dr Terry Michael Kelly, DMD in Tampa, FL - Medicare Dentist Provider

Dr Terry Michael Kelly, DMD is a medicare enrolled "Dentist - Prosthodontics" provider in Tampa, Florida. His current practice location is 10150 Highland Manor Dr, Suite 145, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 682-2401.

Dr Terry Michael Kelly is licensed to practice in Florida (license number DN11407) 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 1750588059.

Contact Information

	Dr Terry Michael Kelly, DMD
	10150 Highland Manor Dr, Suite 145, Tampa, FL 33610-9713
	(813) 682-2401
	(813) 682-2402

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Terry Michael Kelly
Gender	Male
Speciality	Dentist - Prosthodontics
Location	10150 Highland Manor Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750588059
Provider Enumeration Date: 06/29/2007
Last Update Date: 01/11/2016

Medicare PECOS Information:

PECOS PAC ID: 2466433644
Enrollment ID: I20210127001296

Medical Identifiers

Medical identifiers for Dr Terry Michael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750588059	NPI	-	NPPES
DN11407	Other	FL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	DN11407 (Florida)	Primary

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 Terry Michael 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 Terry Michael Kelly, DMD 10150 Highland Manor Dr, Suite 145, Tampa, FL 33610-9713 Ph: (813) 682-2401	Dr Terry Michael Kelly, DMD 10150 Highland Manor Dr, Suite 145, Tampa, FL 33610-9713 Ph: (813) 682-2401

Reviews and Comments

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Dr. Robert Overton Bersot, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13905 Bruce B Downs Blvd, Suite A, Tampa, FL 33613 Phone: 813-978-1090
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Dr Terry Michael Kelly, DMD - Medicare Dentist in Tampa, FL