Kathryn Marie Couture Kelly, MD in Tampa, FL

Kathryn Marie Couture Kelly, MD is a medicare enrolled "Hospitalist" physician in Tampa, Florida. Her current practice location is 3003 W Dr Martin Luther King Jr Blvd, Chronic Complex Clinic, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 554-8121.

Kathryn Marie Couture Kelly is licensed to practice in Florida (license number ME121201) 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 1053544783.

Contact Information

	Kathryn Marie Couture Kelly, MD
	3003 W Dr Martin Luther King Jr Blvd, Chronic Complex Clinic, Tampa, FL 33607-6307
	(813) 554-8121
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathryn Marie Couture Kelly
Gender	Female
Speciality	Hospitalist
Location	3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053544783
Provider Enumeration Date: 08/28/2009
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5092979336
Enrollment ID: I20190322001539

Medical Identifiers

Medical identifiers for Kathryn Marie Couture Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053544783	NPI	-	NPPES
14T3P	Other	FL	BLUE CROSS BLUE SHIELD
014414200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01071090A (Indiana)	Secondary
208M00000X	Hospitalist	ME121201 (Florida)	Primary
208000000X	Pediatrics	ME121021 (Florida)	Secondary

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. Kathryn Marie Couture Kelly allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Kathryn Marie Couture 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
Kathryn Marie Couture Kelly, MD Po Box 917770, Orlando, FL 32891-7770 Ph: (813) 974-2201	Kathryn Marie Couture Kelly, MD 3003 W Dr Martin Luther King Jr Blvd, Chronic Complex Clinic, Tampa, FL 33607-6307 Ph: (813) 554-8121

Reviews and Comments

Hospitalist Doctors in Tampa, FL

Ashley Marie Perry, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 17 Davis Blvd Ste 308, Tampa, FL 33606 Phone: 813-974-2201
Dr. Naveen Kumar Kannekanti, M.D., Hospitalist Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-467-4242
Avani A Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5130 Sunforest Dr Ste 300, Tampa, FL 33634 Phone: 727-439-3764 Fax: 813-514-8891
Luke Casals, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 17 Davis Blvd Ste 308, Tampa, FL 33606 Phone: 813-974-2201
Ramon Guerrero Cueto, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5331 Primrose Lake Cir Ste 112, Tampa, FL 33647 Phone: 813-651-1085 Fax: 813-289-6592
Dr. Marijesmar Gonzalez Ball, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201
Achint Patel, MD, MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 8808 Cypress Manor Dr Apt 212, Tampa, FL 33647 Phone: 248-805-3807

Kathryn Marie Couture Kelly, MD - Medicare Hospitalist in Tampa, FL