Tawaphan W Kelly, DDS in Abilene, TX - Medicare Dentist Provider

Tawaphan W Kelly, DDS is a medicare enrolled "Dentist - General Practice" provider in Abilene, Texas. Her current practice location is 4754 S 14th St, Abilene, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 480-1524.

Tawaphan W Kelly is licensed to practice in Texas (license number 32776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992189674.

Contact Information

	Tawaphan W Kelly, DDS
	4754 S 14th St, Abilene, TX 79605-4733
	(325) 480-1524
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tawaphan W Kelly
Gender	Female
Speciality	Dentist - General Practice
Location	4754 S 14th St, Abilene, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992189674
Provider Enumeration Date: 07/13/2015
Last Update Date: 04/19/2017

Medicare PECOS Information:

PECOS PAC ID: 8921397118
Enrollment ID: I20221020003466

Medical Identifiers

Medical identifiers for Tawaphan W Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992189674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7214 (Nebraska)	Secondary
1223G0001X	Dentist - General Practice	32776 (Texas)	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. Tawaphan W Kelly allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud Familiar La Fe, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629040621 PECOS PAC ID: 7315937448 Enrollment ID: O20050125000164

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. Tawaphan W 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
Tawaphan W Kelly, DDS 3773 Patriot Dr Apt 101, Abilene, TX 79606-1843 Ph: (402) 670-8963	Tawaphan W Kelly, DDS 4754 S 14th St, Abilene, TX 79605-4733 Ph: (325) 480-1524

Reviews and Comments

Dentist in Abilene, TX

Dr. Dru Bart Bourland, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4601 Buffalo Gap Rd, Ste D1, Abilene, TX 79606 Phone: 325-695-3300 Fax: 325-695-9899
James H Brooks, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3281 S 27th St, Abilene, TX 79605 Phone: 325-695-1131 Fax: 325-695-7771
Kyung Mook Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1034 N Willis St, Abilene, TX 79603 Phone: 325-673-8164 Fax: 325-673-0812
Dr. Marcos Esteban Betancourt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4741 Buffalo Gap Rd, Abilene, TX 79606 Phone: 325-437-5284 Fax: 325-437-5285
Robert Earl Russell Hawley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2423 Barrow Street, Abilene, TX 79605 Phone: 325-692-0565 Fax: 325-692-5330
Don Wayne Mc Collum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 Pine St, Abilene, TX 79601 Phone: 325-672-2021 Fax: 325-672-9561
Clayton Zachery Runyan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5309 Buffalo Gap Rd, Abilene, TX 79606 Phone: 325-692-3344 Fax: 325-692-3346

Tawaphan W Kelly, DDS - Medicare Dentist in Abilene, TX