Dr Benson J Kelly, MD is a medicare enrolled "Family Medicine" physician in Akwesasne, New York. He went to Tufts University School Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Regis Mohawk Tribe and his current practice location is
412 State Route 37, Akwesasne, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 358-3141.
Dr Benson J Kelly is licensed to practice in New York (license number 167356) 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 1487614020.
Physician's Profile
| Full Name | Dr Benson J Kelly |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 42 Years |
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| Location | 412 State Route 37, Akwesasne, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Benson J Kelly attended and graduated from Tufts University School Of Medicine in 1983
NPI Data:
- NPI Number: 1487614020
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 02/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264337658
- Enrollment ID: I20111219000202
Medical Identifiers
Medical identifiers for Dr Benson J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487614020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 167356 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Regis Mohawk Tribe | 5799748547 | 9 |
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. Dr Benson J Kelly allows following entities to bill medicare on his behalf.
| Entity Name | St Regis Mohawk Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457344558
PECOS PAC ID: 5799748547
Enrollment ID: O20041111000764 |
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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. Dr Benson 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 |
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Dr Benson J Kelly, MD
412 State Route 37,
Akwesasne, NY 13655-3109
Ph: (518) 358-3141 | Dr Benson J Kelly, MD
412 State Route 37,
Akwesasne, NY 13655-3109
Ph: (518) 358-3141 |
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