David J Kelly, MD in Eagle, ID - Medicare Family Practice

David J Kelly, MD is a medicare enrolled "Family Medicine" physician in Eagle, Idaho. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Praxis Health Pc and his current practice location is 3217 W Bavaria St, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-6200.

David J Kelly is licensed to practice in Idaho (license number M-17694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194862417.

Contact Information

	David J Kelly, MD
	3217 W Bavaria St, Eagle, ID 83616-5171
	(208) 302-6200
	(208) 302-6255

Map and Direction

Physician's Profile

Full Name	David J Kelly
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	3217 W Bavaria St, Eagle, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David J Kelly graduated from medical school in 2003

NPI Data:

NPI Number: 1194862417
Provider Enumeration Date: 01/30/2007
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0840251740
Enrollment ID: I20111004000182

Medical Identifiers

Medical identifiers for David J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194862417	NPI	-	NPPES
807768800	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD155014 (Oregon)	Secondary
207Q00000X	Family Medicine	M-17694 (Idaho)	Primary
207Q00000X	Family Medicine	47273 (Wisconsin)	Secondary
207Q00000X	Family Medicine	M-9938 (Idaho)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Partners Home Health	Bend, OR	Home health agency
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Praxis Health Pc	8325941446	154

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. David J Kelly allows following entities to bill medicare on his behalf.

Entity Name	Praxis Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20040128000241

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. David J 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
David J Kelly, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170	David J Kelly, MD 3217 W Bavaria St, Eagle, ID 83616-5171 Ph: (208) 302-6200

Reviews and Comments

Family Medicine Doctors in Eagle, ID

Mr. Peter Voss Abraham, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 507 S Fitness Pl, Suite 110, Eagle, ID 83616 Phone: 208-947-0925 Fax: 208-947-0926
Bartholomew Michael Ripepi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222
Nancy Mallory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 435 S Eagle Rd, Eagle, ID 83616 Phone: 208-939-8200
Dr. James Donald Mcgregor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Drive, Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055
Dr. Michael A Kaylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 S Eagle Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222
Eric Overton, Family Medicine Medicare: Medicare Enrolled Practice Location: 3217 W Bavaria St, Eagle, ID 83616 Phone: 208-302-6200 Fax: 208-302-6255

David J Kelly, MD - Medicare Family Practice in Eagle, ID