Dr Gina M Kelly, DO, MS is a medicare enrolled "General Practice" physician in North Olmsted, Ohio. Her current practice location is
23790 Elm Rd, North Olmsted, Ohio. You can reach out to her office (for appointments etc.) via phone at
(816) 786-1917.
Dr Gina M Kelly is licensed to practice in Ohio (license number 34.016941) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366947715.
Physician's Profile
| Full Name | Dr Gina M Kelly |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 23790 Elm Rd, North Olmsted, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366947715
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 09/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557612108
- Enrollment ID: I20240408001515
Medical Identifiers
Medical identifiers for Dr Gina M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366947715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 34.016941 (Ohio) | Primary |
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 Gina M Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Skilled Facility Health Care Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104018423
PECOS PAC ID: 9032299144
Enrollment ID: O20240405003144 |
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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 Gina 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 |
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Dr Gina M Kelly, DO, MS
Po Box 26066,
Cleveland, OH 44126-0066
Ph: (816) 786-1917 | Dr Gina M Kelly, DO, MS
23790 Elm Rd,
North Olmsted, OH 44070-3726
Ph: (816) 786-1917 |
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