Carmel M Kelly, MD - Medicare Family Practice in Randolph, MA

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Carmel M Kelly, MD is a medicare enrolled "Family Medicine" physician in Randolph, Massachusetts. She graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Community Physicians Associates Inc and her current practice location is 1093 N Main St, Randolph, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 963-0676.

Carmel M Kelly is licensed to practice in Massachusetts (license number 57521) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164416228.

Contact Information

Carmel M Kelly, MD
1093 N Main St,
Randolph, MA 02368-2100
(781) 963-0676
(781) 963-7417

Map and Direction




Physician's Profile

Full NameCarmel M Kelly
GenderFemale
SpecialityFamily Practice
Experience44 Years
Location1093 N Main St, Randolph, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carmel M Kelly graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1164416228
  • Provider Enumeration Date: 09/06/2005
  • Last Update Date: 04/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4789631284
  • Enrollment ID: I20050406001046

Medical Identifiers

Medical identifiers for Carmel M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164416228NPI-NPPES
0100052OtherEVERCARE
0100918OtherNEUNITED HLTHCARE OF NE
3567516OtherAETNA HEALTH PLAN
043243146OtherUNICARE
21003084366OtherBEECH STREET
J06362OtherBLUE CARE ELECT
M15986OtherBLUE CROSS INDEMNITY
7134757002OtherCIGNA
J06362OtherHMO BLUE
043243146OtherHCVM
043243146OtherGREAT WEST HEALTHCARE
64506OtherHARVARD PILGRIM
043243146OtherHARVARD PILGRIM
3022447MedicaidMA
J06362OtherBLUE CROSS INDEMNITY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57521 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Shore Visiting Nurse AssociationRockland, MAHome health agency
Beth Israel Deaconess Hospital - MiltonMilton, MAHospital
South Shore HospitalSouth weymouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Associates Inc731593148222

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. Carmel M Kelly allows following entities to bill medicare on her behalf.
Entity NameCommunity Physicians Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538154869
PECOS PAC ID: 7315931482
Enrollment ID: O20040727000553

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. Carmel M 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
Carmel M Kelly, MD
1093 N Main St,
Randolph, MA 02368-2100

Ph: (781) 963-0676		Carmel M Kelly, MD
1093 N Main St,
Randolph, MA 02368-2100

Ph: (781) 963-0676

Reviews and Comments


Family Medicine Doctors in Randolph, MA

Dr. Nicole Alexis Lopez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 32 S Main St Ste 100, Randolph, MA 02368
Phone: 617-696-0022    

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.