Dr Steven Ellsworth Kelly, MD is a medicare enrolled "Dermatology" physician in Saratoga Springs, Utah. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Utah Valley Dermatology Pc and his current practice location is
62 E Thrive Dr Ste 220, Saratoga Springs, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 768-8800.
Dr Steven Ellsworth Kelly is licensed to practice in Utah (license number 12750920-1205) 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 1154809002.
Physician's Profile
Full Name | Dr Steven Ellsworth Kelly |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 6 Years |
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Location | 62 E Thrive Dr Ste 220, Saratoga Springs, Utah |
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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 Steven Ellsworth Kelly graduated from medical school in 2018
NPI Data:
- NPI Number: 1154809002
- Provider Enumeration Date: 08/02/2018
- Last Update Date: 02/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719373919
- Enrollment ID: I20220414001071
Medical Identifiers
Medical identifiers for Dr Steven Ellsworth Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154809002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 12750920-1205 (Utah) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Utah Valley Dermatology Pc | 7113181355 | 9 |
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 Ellsworth Kelly allows following entities to bill medicare on his behalf.
Entity Name | Utah Valley Dermatology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922368927 PECOS PAC ID: 7113181355 Enrollment ID: O20120619000526 |
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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 Ellsworth 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 Steven Ellsworth Kelly, MD 680 E Main St, Lehi, UT 84043-2241 Ph: (801) 768-8800 | Dr Steven Ellsworth Kelly, MD 62 E Thrive Dr Ste 220, Saratoga Springs, UT 84045-5560 Ph: (801) 768-8800 |
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