Dr Susan Staba Kelly, MD in Orlando, FL

Dr Susan Staba Kelly, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Orlando, Florida. Her current practice location is 2501 N Orange Ave, Suite 589, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 303-1300.

Dr Susan Staba Kelly is licensed to practice in Florida (license number ME79161) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235170242.

Contact Information

	Dr Susan Staba Kelly, MD
	2501 N Orange Ave, Suite 589, Orlando, FL 32804-4603
	(407) 303-1300
	(407) 303-1301

Map and Direction

Physician's Profile

Full Name	Dr Susan Staba Kelly
Gender	Female
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	2501 N Orange Ave, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235170242
Provider Enumeration Date: 06/09/2006
Last Update Date: 03/29/2017

Medicare PECOS Information:

PECOS PAC ID: 6507843703
Enrollment ID: I20040706000995

Medical Identifiers

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

Identifier	Type	State	Issuer
1235170242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	ME79161 (Florida)	Primary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	M8760 (Texas)	Secondary

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 Susan Staba Kelly allows following entities to bill medicare on her behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

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 Susan Staba 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 Susan Staba Kelly, MD 2501 N Orange Ave, Suite 589, Orlando, FL 32804-4603 Ph: (407) 303-1300	Dr Susan Staba Kelly, MD 2501 N Orange Ave, Suite 589, Orlando, FL 32804-4603 Ph: (407) 303-1300

Reviews and Comments

Pediatrics Doctors in Orlando, FL

Dr. Lynn Christine Palmeri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-2528 Fax: 407-303-2760
Darlene Marie Eckert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14065 Town Loop Blvd, Suite 300, Orlando, FL 32837 Phone: 407-240-5554 Fax: 407-240-5543
Sunita A Patil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-843-3220 Fax: 321-843-3210
Dr. Barbara J Gans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 N Mills Ave, Orlando, FL 32803 Phone: 407-841-7290 Fax: 407-636-7800
Adalberto Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-4005 Fax: 407-650-7124
Dr. Lisa Santos Spector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924
Mary Farrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-5104 Fax: 321-841-6871

Dr Susan Staba Kelly, MD - Medicare Pediatrics in Orlando, FL