Dr Kelly Mah, MD in Manteca, CA - Medicare Obstetrics & Gynecology

Dr Kelly Mah, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Manteca, California. His current practice location is 1205 E North St, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 612-9077.

Dr Kelly Mah is licensed to practice in California (license number G065156) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053420489.

Contact Information

	Dr Kelly Mah, MD
	1205 E North St, Manteca, CA 95336-4932
	(209) 612-9077
	(209) 824-0754

Map and Direction

Physician's Profile

Full Name	Dr Kelly Mah
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1205 E North St, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053420489
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9335556984
Enrollment ID: I20210325002111

Medical Identifiers

Medical identifiers for Dr Kelly Mah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053420489	NPI	-	NPPES
GR0045320	Medicaid	CA
G065156	Other	CA	MEDICAL LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	G065156 (California)	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 Mah allows following entities to bill medicare on his behalf.

Entity Name	P. Gill Obstetrics & Gynecology Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386636165 PECOS PAC ID: 9133019755 Enrollment ID: O20040317001320

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 Mah 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 Mah, MD Po Box 993, Manteca, CA 95336-1139 Ph: (209) 612-9077	Dr Kelly Mah, MD 1205 E North St, Manteca, CA 95336-4932 Ph: (209) 612-9077

Reviews and Comments

Obstetrics & Gynecology Doctors in Manteca, CA

Cynthia M Vanata, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1144 Norman Dr, #104, Manteca, CA 95336 Phone: 209-823-0827 Fax: 209-823-5854
Dr. Linda J Bouchard, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 520 E Center St, Manteca, CA 95336 Phone: 209-860-4393 Fax: 209-650-0684
Edward Joseph Stanford, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1262 E North St, Manteca, CA 95336 Phone: 209-823-7646 Fax: 209-824-5374
Yu-yea M. Tzeng, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Ms. Gail R Joseph, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1262 E North St, Manteca, CA 95336 Phone: 209-823-7646 Fax: 209-824-5374
Dr. Catherine F Mathis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1234 E. North St, Suite 102, Manteca, CA 95336 Phone: 209-824-2202 Fax: 209-824-2205

Dr Kelly Mah, MD - Medicare Obstetrics & Gynecology in Manteca, CA