Derek Keith Kelly, MD in Fort Worth, TX - Medicare Emergency Medicine

Derek Keith Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. His current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 922-7070.

Derek Keith Kelly is licensed to practice in Texas (license number N1708) 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 1164622007.

Contact Information

	Derek Keith Kelly, MD
	1400 8th Ave, Fort Worth, TX 76104-4110
	(817) 922-7070
	Not Available

Map and Direction

Physician's Profile

Full Name	Derek Keith Kelly
Gender	Male
Speciality	Emergency Medicine
Location	1400 8th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164622007
Provider Enumeration Date: 07/19/2007
Last Update Date: 06/21/2012

Medicare PECOS Information:

PECOS PAC ID: 9032242011
Enrollment ID: I20100727000981

Medical Identifiers

Medical identifiers for Derek Keith Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164622007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	N1708 (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. Derek Keith Kelly allows following entities to bill medicare on his behalf.

Entity Name	Texas Medicine Resources, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785

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. Derek Keith 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
Derek Keith Kelly, MD 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 922-7070	Derek Keith Kelly, MD 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 922-7070

Reviews and Comments

Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000
Mr. Karim S Jamal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 S. Freeway, Fort Worth, TX 76134 Phone: 817-293-9110

Derek Keith Kelly, MD - Medicare Emergency Medicine in Fort Worth, TX