Dr Kelly E Williams, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Scranton, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Northeastern Rehabilitation Associates, Pc and her current practice location is
5 Morgan Hwy, Suite 4, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 344-3788.
Dr Kelly E Williams is licensed to practice in Pennsylvania (license number OS017241) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093940546.
Physician's Profile
| Full Name | Dr Kelly E Williams |
|---|
| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 15 Years |
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| Location | 5 Morgan Hwy, Scranton, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Kelly E Williams attended and graduated from Philadelphia College Of Osteopathic Medicine in 2009
NPI Data:
- NPI Number: 1093940546
- Provider Enumeration Date: 05/27/2009
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709013329
- Enrollment ID: I20140930002521
Medical Identifiers
Medical identifiers for Dr Kelly E Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093940546 | NPI | - | NPPES |
| 102967539-0001 | Medicaid | PA | |
| 1093940546 | Other | PA | UHC COMMERCIAL & MEDICARE |
| 4866356 | Other | PA | AETNA |
| P01389864 | Other | PA | RR MEDICARE |
| 30212590 | Other | PA | AMERIHEALTH CARITAS |
| 6620630 | Other | PA | CIGNA |
| 003115409 | Other | PA | BLUE SHIELD/PREMIER BLUE/MEDICARE ADVANTAGE/FIRST PRIORITY LIFE |
| 25-1645055 | Other | PA | AETNA BETTER HEALTH |
| 1093940546 | Other | PA | GHP |
| 1093940546 | Other | PA | HEALTH AMERICA |
| 833606 | Other | PA | FPH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | OT013735 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OS017241 (Pennsylvania) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | OS017241 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeastern Rehabilitation Associates, Pc | 5193714723 | 50 |
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 Kelly E Williams allows following entities to bill medicare on her behalf.
| Entity Name | Northeastern Rehabilitation Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104878412
PECOS PAC ID: 5193714723
Enrollment ID: O20040510000579 |
|---|
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 Kelly E Williams 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 Kelly E Williams, DO
5 Morgan Hwy, Suite 4,
Scranton, PA 18508-2641
Ph: (570) 344-3788 | Dr Kelly E Williams, DO
5 Morgan Hwy, Suite 4,
Scranton, PA 18508-2641
Ph: (570) 344-3788 |
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