Dr Kelly L Ross, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Marshall, Missouri. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1997 and has 27 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice John Fitzgibbon Memorial Hospital Inc and her current practice location is
2305 South 65 Highway, Marshall, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 886-8414.
Dr Kelly L Ross is licensed to practice in Missouri (license number 2005023176) 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 1053384818.
Physician's Profile
| Full Name | Dr Kelly L Ross |
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| Gender | Female |
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| Speciality | Orthopedic Surgery |
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| Experience | 27 Years |
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| Location | 2305 South 65 Highway, Marshall, Missouri |
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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. |
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Medical Education and Training:
- Dr Kelly L Ross attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1997
NPI Data:
- NPI Number: 1053384818
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193750313
- Enrollment ID: I20050927000817
Medical Identifiers
Medical identifiers for Dr Kelly L Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053384818 | NPI | - | NPPES |
| P00266071 | Other | MO | RAIL ROAD MEDICARE |
| 207593807 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 2005023176 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| John Fitzgibbon Memorial Hospital Inc | 2567351570 | 89 |
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 L Ross allows following entities to bill medicare on her behalf.
| Entity Name | John Fitzgibbon Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285650176
PECOS PAC ID: 2567351570
Enrollment ID: O20080708000234 |
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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 Kelly L Ross 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 Kelly L Ross, DO
2305 South 65 Highway,
Marshall, MO 65340-3702
Ph: (660) 831-3553 | Dr Kelly L Ross, DO
2305 South 65 Highway,
Marshall, MO 65340-3702
Ph: (660) 886-8414 |
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