Robert H Kelly, DMD is a medicare enrolled "Dentist" provider in Welches, Oregon. His current practice location is
24540 E Welches Rd, Welches, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 622-3085.
Robert H Kelly is licensed to practice in Oregon (license number D9179) 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 1811101876.
Healthcare Provider's Profile
Full Name | Robert H Kelly |
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Gender | Male |
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Speciality | Dentist |
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Location | 24540 E Welches Rd, Welches, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811101876
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 11/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 9931405305
- Enrollment ID: I20160310001484
Medical Identifiers
Medical identifiers for Robert H Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811101876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2114 (Hawaii) | Secondary |
122300000X | Dentist | D9179 (Oregon) | 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. Robert H 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 |
Robert H Kelly, DMD 24540 E Welches Rd, Welches, OR 97067-0347 Ph: (503) 622-3085 | Robert H Kelly, DMD 24540 E Welches Rd, Welches, OR 97067-0347 Ph: (503) 622-3085 |
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