Dr Daniel Kelley, MD in Chicago, IL - Medicare Sports Medicine

Dr Daniel Kelley, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Chicago, Illinois. He went to University Of Southern California Keck School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 680 N Lake Shore Dr Ste 924, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 866-7846.

Dr Daniel Kelley is licensed to practice in Illinois (license number 036152896) 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 1912437187.

Contact Information

	Dr Daniel Kelley, MD
	680 N Lake Shore Dr Ste 924, Chicago, IL 60611-8701
	(847) 866-7846
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Daniel Kelley
Gender	Male
Speciality	Sports Medicine
Experience	7 Years
Location	680 N Lake Shore Dr Ste 924, Chicago, Illinois
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:

Dr Daniel Kelley attended and graduated from University Of Southern California Keck School Of Medicine in 2017

NPI Data:

NPI Number: 1912437187
Provider Enumeration Date: 06/19/2017
Last Update Date: 06/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3173895745
Enrollment ID: I20210609001365

Medical Identifiers

Medical identifiers for Dr Daniel Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912437187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ML60770434 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	ML60770434 (Washington)	Secondary
207QS0010X	Family Medicine - Sports Medicine	036152896 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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 Daniel Kelley allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 Daniel Kelley 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
Dr Daniel Kelley, MD 680 N Lake Shore Dr Ste 924, Chicago, IL 60611-8701 Ph: (847) 866-7846	Dr Daniel Kelley, MD 680 N Lake Shore Dr Ste 924, Chicago, IL 60611-8701 Ph: (847) 866-7846

Reviews and Comments

Family Medicine Doctors in Chicago, IL

Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273

Dr Daniel Kelley, MD - Medicare Sports Medicine in Chicago, IL