Dr Derek Joseph Kelly, MD in Chicago, IL - Medicare Family Practice

Dr Derek Joseph Kelly, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sauganash Health Associates and his current practice location is 2740 W Foster Ave, Suite 209, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 293-3510.

Dr Derek Joseph Kelly is licensed to practice in Illinois (license number 036063365) 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 1407989106.

Contact Information

	Dr Derek Joseph Kelly, MD
	2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500
	(773) 293-3510
	(773) 293-3514

Map and Direction

Physician's Profile

Full Name	Dr Derek Joseph Kelly
Gender	Male
Speciality	Family Practice
Experience	46 Years
Location	2740 W Foster Ave, 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 Derek Joseph Kelly graduated from medical school in 1978

NPI Data:

NPI Number: 1407989106
Provider Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436062080
Enrollment ID: I20120723000409

Medical Identifiers

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

Identifier	Type	State	Issuer
1407989106	NPI	-	NPPES
0031600421	Other	IL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036063365 (Illinois)	Primary

Medical Facilities Affiliation

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sauganash Health Associates	6800052747	2

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 Derek Joseph Kelly allows following entities to bill medicare on his behalf.

Entity Name	Sauganash Health Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487843496 PECOS PAC ID: 6800052747 Enrollment ID: O20120723000374

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 Derek Joseph 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
Dr Derek Joseph Kelly, MD 2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 Ph: () -	Dr Derek Joseph Kelly, MD 2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 Ph: (773) 293-3510

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 Derek Joseph Kelly, MD - Medicare Family Practice in Chicago, IL