Dr Leigh Rowan-kelly, MD FASAM is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Haddam, Connecticut. His current practice location is
7 Island Dock Rd, Haddam, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(816) 416-6168.
Dr Leigh Rowan-kelly is licensed to practice in Connecticut (license number 68097) 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 1790987709.
Physician's Profile
| Full Name | Dr Leigh Rowan-kelly |
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| Gender | Male |
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| Speciality | Family Medicine - Addiction Medicine |
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| Location | 7 Island Dock Rd, Haddam, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790987709
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 12/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305997834
- Enrollment ID: I20150218001727
Medical Identifiers
Medical identifiers for Dr Leigh Rowan-kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790987709 | NPI | - | NPPES |
| 390200000X | Other | OR | TAXONOMY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0401X | Family Medicine - Addiction Medicine | 68097 (Connecticut) | 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 Leigh Rowan-kelly allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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 Leigh Rowan-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 Leigh Rowan-kelly, MD FASAM
100 Summit Crest Dr,
South Glastonbury, CT 06073-2944
Ph: (816) 416-6168 | Dr Leigh Rowan-kelly, MD FASAM
7 Island Dock Rd,
Haddam, CT 06438-1036
Ph: (816) 416-6168 |
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