Dr Kevin Kelly, MD is a medicare enrolled "Family Medicine" physician in Fort Lewis, Washington. His current practice location is
9040 Fitzsimmons Blvd, Madigan Army Medical Center, Fort Lewis, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 968-7600.
Dr Kevin Kelly is licensed to practice in Nebraska (license number 23252) 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 1588634802.
Physician's Profile
Full Name | Dr Kevin Kelly |
---|
Gender | Male |
---|
Speciality | Family Medicine |
---|
Location | 9040 Fitzsimmons Blvd, Fort Lewis, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588634802
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 07/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123256724
- Enrollment ID: I20140103001290
Medical Identifiers
Medical identifiers for Dr Kevin Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588634802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 23252 (Nebraska) | Primary |
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 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 Kevin Kelly, MD Building 9040 Fitzsimmons Blvd, Madigan Army Medical Center, Fort Lewis, WA 98431 Ph: () - | Dr Kevin Kelly, MD 9040 Fitzsimmons Blvd, Madigan Army Medical Center, Fort Lewis, WA 98431 Ph: (253) 968-7600 |
Reviews and Comments