Dr Mark Kelly, DO in Laurel, MS - Medicare Emergency Medicine

Dr Mark Kelly, DO is a medicare enrolled "Emergency Medicine" physician in Laurel, Mississippi. His current practice location is 1220 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 426-4507.

Dr Mark Kelly is licensed to practice in Mississippi (license number 17057) 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 1457394090.

Contact Information

	Dr Mark Kelly, DO
	1220 Jefferson St, Laurel, MS 39440-4355
	(601) 426-4507
	(601) 426-4228

Map and Direction

Physician's Profile

Full Name	Dr Mark Kelly
Gender	Male
Speciality	Emergency Medicine
Location	1220 Jefferson St, Laurel, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457394090
Provider Enumeration Date: 06/13/2006
Last Update Date: 02/11/2014

Medicare PECOS Information:

PECOS PAC ID: 3577549088
Enrollment ID: I20040625000634

Medical Identifiers

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

Identifier	Type	State	Issuer
1457394090	NPI	-	NPPES
00124357	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	17057 (Mississippi)	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 Mark Kelly allows following entities to bill medicare on his behalf.

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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 Mark 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 Mark Kelly, DO Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167	Dr Mark Kelly, DO 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4507

Reviews and Comments

Emergency Medicine Doctors in Laurel, MS

Edmund Chinchar, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000
James Boyd Bronson Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000
Teresa Randelle Camp-rogers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281
Dr. Michael Gast, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6184
Rebekah Kollar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105
Dr. George M Loukatos, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4415
Dr. Thomas James Bailey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281

Dr Mark Kelly, DO - Medicare Emergency Medicine in Laurel, MS