Dr Kelley J Phillips, MD - Medicare Emergency Medicine in Dallas, TX

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Dr Kelley J Phillips, MD is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. Her current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 820-2505.

Dr Kelley J Phillips is licensed to practice in Texas (license number M1293) 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 1174579403.

Contact Information

Dr Kelley J Phillips, MD
3500 Gaston Ave,
Dallas, TX 75246-2096
(214) 820-2505
Not Available

Map and Direction




Physician's Profile

Full NameDr Kelley J Phillips
GenderFemale
SpecialityEmergency Medicine
Location3500 Gaston Ave, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174579403
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 04/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0941226245
  • Enrollment ID: I20051017000328

Medical Identifiers

Medical identifiers for Dr Kelley J Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174579403NPI-NPPES
176422707MedicaidTX
176422708MedicaidTX
8H4406OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine M1293 (Texas)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 Kelley J Phillips allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameQuestcare Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164574489
PECOS PAC ID: 6204739402
Enrollment ID: O20040127000697
Entity NameRay Hubbard Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629145362
PECOS PAC ID: 1153595319
Enrollment ID: O20111128000352
Entity NameInnovative Emergency Physicians Of Frisco, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871832188
PECOS PAC ID: 1456590371
Enrollment ID: O20130625000244
Entity NamePediatric Emergency Medicine Group, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629448535
PECOS PAC ID: 9931409943
Enrollment ID: O20151124000478
Entity NameSundance Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326490889
PECOS PAC ID: 1153602016
Enrollment ID: O20170109000714

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 Kelley J Phillips 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 AddressPractice Location Address
Dr Kelley J Phillips, MD
4409 Verde Lane,
Frisco, TX 75034

Ph: (469) 287-2750		Dr Kelley J Phillips, MD
3500 Gaston Ave,
Dallas, TX 75246-2096

Ph: (214) 820-2505

Reviews and Comments


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Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-2505    Fax: 214-712-2487

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.