Mr Patrick James Kelly, DDS - Medicare Dentist in Lincoln Park, MI

Mr Patrick James Kelly, DDS is a medicare enrolled "Dentist" provider in Lincoln Park, Michigan. His current practice location is 4009 Fort St, Lincoln Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 928-8555.

Mr Patrick James Kelly is licensed to practice in Michigan (license number 2901016290) 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 1629149372.

Contact Information

Mr Patrick James Kelly, DDS
4009 Fort St,
Lincoln Park, MI 48146-4110
(313) 928-8555
(313) 928-1399

Map and Direction




Healthcare Provider's Profile

Full NameMr Patrick James Kelly
GenderMale
SpecialityDentist
Location4009 Fort St, Lincoln Park, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629149372
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 03/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6800112723
  • Enrollment ID: I20170315001222

Medical Identifiers

Medical identifiers for Mr Patrick James Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629149372NPI-NPPES
3334958MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2901016290 (Michigan)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. Mr Patrick James 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 AddressPractice Location Address
Mr Patrick James Kelly, DDS
4009 Fort St,
Lincoln Park, MI 48146-4110

Ph: (313) 928-8555
Mr Patrick James Kelly, DDS
4009 Fort St,
Lincoln Park, MI 48146-4110

Ph: (313) 928-8555

Reviews and Comments


Dentist in Lincoln Park, MI

Dr. Waseem Nidal Makki, D.D.S.
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Dr. Elizabeth Brito, DDS
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Assia Mouabbi, DDS
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Dr. Michael A Izzo, D.D.S.
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Phone: 313-386-7660    Fax: 313-386-8980
Dr. Thomas Michael Collins, DDS
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Medicare: Medicare Enrolled
Practice Location: 1359 Champaign, Lincoln Park, MI 48146
Phone: 313-386-9660    Fax: 313-386-5515
Dr. Theodore Mark Healy, DDS
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Medicare: Medicare Enrolled
Practice Location: 1359 Champaign, Lincoln Park, MI 48146
Phone: 313-386-9660    Fax: 313-386-5515
Dr. Anthony Wayne Stines, DDS
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Medicare: Medicare Enrolled
Practice Location: 3577 Fort St, Lincoln Park, MI 48146
Phone: 313-388-0103    Fax: 313-388-3219

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.