Dr Keith Stefon Kelly, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Fort Washington, Maryland. He went to Howard University College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
11701 Livingston Rd Ste 308, Fort Washington, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 292-6140.
Dr Keith Stefon Kelly is licensed to practice in Maryland (license number D0054969) 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 1770604043.
Physician's Profile
Full Name | Dr Keith Stefon Kelly |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 29 Years |
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Location | 11701 Livingston Rd Ste 308, Fort Washington, Maryland |
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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 Keith Stefon Kelly attended and graduated from Howard University College Of Medicine in 1995
NPI Data:
- NPI Number: 1770604043
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648458794
- Enrollment ID: I20110621000223
Medical Identifiers
Medical identifiers for Dr Keith Stefon Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770604043 | NPI | - | NPPES |
156002600 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | D0054969 (Maryland) | 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 Keith Stefon Kelly allows following entities to bill medicare on his behalf.
Entity Name | Keith S Kelly Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912183781 PECOS PAC ID: 4486832532 Enrollment ID: O20110621000188 |
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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 Keith Stefon 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 Keith Stefon Kelly, MD 11701 Livingston Rd Ste 308, Fort Washington, MD 20744-5146 Ph: (301) 632-6900 | Dr Keith Stefon Kelly, MD 11701 Livingston Rd Ste 308, Fort Washington, MD 20744-5146 Ph: (301) 292-6140 |
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