Dr Kelly Lynn Mcwilliams, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Denver, Colorado. Her current practice location is
777 Bannock St # Mc0108, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 602-5176.
Dr Kelly Lynn Mcwilliams is licensed to practice in * (Not Available) (license number ) 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 1245867704.
Physician's Profile
Full Name | Dr Kelly Lynn Mcwilliams |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 777 Bannock St # Mc0108, Denver, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245867704
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901265040
- Enrollment ID: I20230706004018
Medical Identifiers
Medical identifiers for Dr Kelly Lynn Mcwilliams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245867704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | DR.0070444 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Kelly Lynn Mcwilliams allows following entities to bill medicare on her behalf.
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
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Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
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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 Lynn Mcwilliams 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 Lynn Mcwilliams, MD 777 Bannock St # Mc0108, Denver, CO 80204-4507 Ph: (303) 602-5176 | Dr Kelly Lynn Mcwilliams, MD 777 Bannock St # Mc0108, Denver, CO 80204-4507 Ph: (303) 602-5176 |
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