Dr Kenneth J Kelly, MD in San Diego, CA - Medicare Emergency Medicine

Dr Kenneth J Kelly, MD is a medicare enrolled "Emergency Medicine - Undersea And Hyperbaric Medicine" physician in San Diego, California. He went to Michigan State University College Of Human Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Saint Francis Medical Center and his current practice location is 2000 Trident Way, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (808) 474-9333.

Dr Kenneth J Kelly is licensed to practice in Hawaii (license number MD7948) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730224908.

Contact Information

	Dr Kenneth J Kelly, MD
	2000 Trident Way, San Diego, CA 92155-5599
	(808) 474-9333
	(619) 437-3197

Map and Direction

Physician's Profile

Full Name	Dr Kenneth J Kelly
Gender	Male
Speciality	Emergency Medicine
Experience	35 Years
Location	2000 Trident Way, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth J Kelly attended and graduated from Michigan State University College Of Human Medicine in 1989

NPI Data:

NPI Number: 1730224908
Provider Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092087924
Enrollment ID: I20170828000537

Medical Identifiers

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

Identifier	Type	State	Issuer
1730224908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0005X	Emergency Medicine - Undersea And Hyperbaric Medicine	MD7948 (Hawaii)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Cape girardeau, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Francis Medical Center	9931007929	387

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 Kenneth J Kelly allows following entities to bill medicare on his behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140

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 Kenneth J Kelly 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 Kenneth J Kelly, MD 2000 Trident Way, San Diego, CA 92155-5599 Ph: (808) 474-9333	Dr Kenneth J Kelly, MD 2000 Trident Way, San Diego, CA 92155-5599 Ph: (808) 474-9333

Reviews and Comments

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Dr. Timothy Stuart Hinman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Ave, San Diego, CA 92101 Phone: 858-499-2600
Dr. Peter D. Aldrich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15025 Innovation Dr, San Diego, CA 92128 Phone: 858-554-8638
Dr. Matthew J. Perl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7171

Dr Kenneth J Kelly, MD - Medicare Emergency Medicine in San Diego, CA