Dr Daniel Kelley, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fort Worth, Texas. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Century Integrated Partners, Inc and his current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 702-8840.
Dr Daniel Kelley is licensed to practice in * (Not Available) (license number ) 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 1649732538.
Physician's Profile
Full Name | Dr Daniel Kelley |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 5 Years |
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Location | 1500 S Main St, Fort Worth, Texas |
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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. |
Medical Education and Training:
- Dr Daniel Kelley attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2019
NPI Data:
- NPI Number: 1649732538
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082005541
- Enrollment ID: I20211217001128
Medical Identifiers
Medical identifiers for Dr Daniel Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649732538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | T2649 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Century Integrated Partners, Inc | 6406151703 | 231 |
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 | Integrative Emergency Services Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
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Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
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Entity Name | Ies Central Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
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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 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 1500 S Main St, Fort Worth, TX 76104-4917 Ph: () - | Dr Daniel Kelley, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-8840 |
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