Derek M Kelly, MD in Collierville, TN - Medicare Orthopedic Surgery

Derek M Kelly, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Collierville, Tennessee. He went to University Of Arkansas College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and his current practice location is 1458 W Poplar Ave, Suite 100, Collierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 759-3100.

Derek M Kelly is licensed to practice in Tennessee (license number 43223) 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 1649499971.

Contact Information

	Derek M Kelly, MD
	1458 W Poplar Ave, Suite 100, Collierville, TN 38017-0630
	(901) 759-3100
	(901) 759-3196

Map and Direction

Physician's Profile

Full Name	Derek M Kelly
Gender	Male
Speciality	Orthopedic Surgery
Experience	22 Years
Location	1458 W Poplar Ave, Collierville, Tennessee
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:

Derek M Kelly attended and graduated from University Of Arkansas College Of Medicine in 2002

NPI Data:

NPI Number: 1649499971
Provider Enumeration Date: 04/25/2007
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0143394478
Enrollment ID: I20080805000673

Medical Identifiers

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

Identifier	Type	State	Issuer
1649499971	NPI	-	NPPES
174871001	Medicaid	AR
100169565	Medicaid	MS
008850343	Medicaid	MS
1508536	Medicaid	TN
04951036	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XP3100X	Orthopaedic Surgery - Pediatric Orthopaedic Surgery	43223 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Campbell Clinic Pc	9638082076	142
Campbell Clinic Pc	9638082076	142

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 M Kelly allows following entities to bill medicare on his behalf.

Entity Name	Campbell Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216

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 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 Address	Practice Location Address
Derek M Kelly, MD 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100	Derek M Kelly, MD 1458 W Poplar Ave, Suite 100, Collierville, TN 38017-0630 Ph: (901) 759-3100

Reviews and Comments

Orthopaedic Surgery Doctors in Collierville, TN

Dr. Robert T Bobo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 511 Market Blvd Ste 103, Collierville, TN 38017 Phone: 901-850-1150
Dr. Tyler James Brolin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1458 W Poplar Ave Ste 100, Collierville, TN 38017 Phone: 901-759-3100 Fax: 901-759-3196
Dr. Patrick Christopher Toy, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 99 Market Center Dr, Collierville, TN 38017 Phone: 901-861-9610 Fax: 901-861-9611
Jeffrey A Dlabach, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 99 Market Center Dr, Collierville, TN 38017 Phone: 901-861-9610 Fax: 901-861-9611

Derek M Kelly, MD - Medicare Orthopedic Surgery in Collierville, TN