Dr Kevin Edward Kelly, MD is a medicare enrolled "Otolaryngology" physician in Weirton, West Virginia. He went to Northwestern University Feinberg Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wmc Physician Practices Llc and his current practice location is
651 Colliers Way Ste 307, Weirton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 797-6197.
Dr Kevin Edward Kelly is licensed to practice in Arizona (license number 24684) 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 1154452787.
Physician's Profile
| Full Name | Dr Kevin Edward Kelly |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 38 Years |
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| Location | 651 Colliers Way Ste 307, Weirton, West Virginia |
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| Accepts Medicare Assignments | Yes. He 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 Kevin Edward Kelly attended and graduated from Northwestern University Feinberg Medical School in 1986
NPI Data:
- NPI Number: 1154452787
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 10/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496772519
- Enrollment ID: I20131212001862
Medical Identifiers
Medical identifiers for Dr Kevin Edward Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154452787 | NPI | - | NPPES |
| AZ0834560 | Other | | BLUE CROSS BLUE SHIELD |
| 364935 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 24684 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wmc Physician Practices Llc | 0244466753 | 88 |
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 Kevin Edward Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Wmc Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518303288
PECOS PAC ID: 0244466753
Enrollment ID: O20131111001065 |
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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 Kevin Edward 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 |
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Dr Kevin Edward Kelly, MD
651 Colliers Way Ste 300,
Weirton, WV 26062-5058
Ph: (304) 797-6404 | Dr Kevin Edward Kelly, MD
651 Colliers Way Ste 307,
Weirton, WV 26062-5055
Ph: (304) 797-6197 |
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