Dr Steven Dale Kelley, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Clinton, North Carolina. His current practice location is
607 Beaman St, Clinton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 592-8511.
Dr Steven Dale Kelley is licensed to practice in North Carolina (license number 2007-00129) 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 1962489245.
Physician's Profile
Full Name | Dr Steven Dale Kelley |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 607 Beaman St, Clinton, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962489245
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476644519
- Enrollment ID: I20070803000484
Medical Identifiers
Medical identifiers for Dr Steven Dale Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962489245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 2007-00129 (North Carolina) | 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 Steven Dale Kelley allows following entities to bill medicare on his behalf.
Entity Name | Asheboro Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689779720 PECOS PAC ID: 3476532920 Enrollment ID: O20040717000225 |
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Entity Name | Western Carolina Emergency Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
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Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
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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 Steven Dale Kelley 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 Steven Dale Kelley, MD 6371 Hornbuckle Dr, Fayetteville, NC 28311-7104 Ph: (910) 592-8511 | Dr Steven Dale Kelley, MD 607 Beaman St, Clinton, NC 28328-2603 Ph: (910) 592-8511 |
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