Dr Sean Michael Kelly, DO is a medicare enrolled "Internal Medicine" physician in Township Of Washington, New Jersey. He went to Lincoln Memorial University Medical Department and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospitalist Physicians Of New Jersey Pa, Rockland Physician Medicine Services Pc and his current practice location is
606 Beech St, Township Of Washington, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 280-4458.
Dr Sean Michael Kelly is licensed to practice in New Jersey (license number 25MB10462600) 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 1063851509.
Physician's Profile
Full Name | Dr Sean Michael Kelly |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 11 Years |
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Location | 606 Beech St, Township Of Washington, New Jersey |
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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. |
Medical Education and Training:
- Dr Sean Michael Kelly attended and graduated from Lincoln Memorial University Medical Department in 2013
NPI Data:
- NPI Number: 1063851509
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618194325
- Enrollment ID: I20181219002974
Medical Identifiers
Medical identifiers for Dr Sean Michael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063851509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 325082 (New York) | Secondary |
207R00000X | Internal Medicine | 032.0132524 (Vermont) | Secondary |
207R00000X | Internal Medicine | 255482 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | 25MB10462600 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hospitalist Physicians Of New Jersey Pa | 3476859927 | 136 |
Rockland Physician Medicine Services Pc | 1951731991 | 35 |
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 Sean Michael Kelly allows following entities to bill medicare on his behalf.
Entity Name | Medexpress Urgent Care - New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205183894 PECOS PAC ID: 6103076526 Enrollment ID: O20121022000045 |
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Entity Name | Hospitalist Physicians Of New Jersey Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588021851 PECOS PAC ID: 3476859927 Enrollment ID: O20160309000541 |
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Entity Name | North Bergen Hospitalists |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689028946 PECOS PAC ID: 6002107976 Enrollment ID: O20160623001331 |
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Entity Name | Inhospital Physicians Corp Of New Jersey, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336625425 PECOS PAC ID: 2264781780 Enrollment ID: O20180816002176 |
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Entity Name | Medexpress Urgent Care - Northern New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487185369 PECOS PAC ID: 4183965122 Enrollment ID: O20190401001534 |
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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 Sean Michael 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 Sean Michael Kelly, DO 606 Beech St, Township Of Washington, NJ 07676-4332 Ph: (201) 280-4458 | Dr Sean Michael Kelly, DO 606 Beech St, Township Of Washington, NJ 07676-4332 Ph: (201) 280-4458 |
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