Dr Thomas Charles Kelly, MD is a medicare enrolled "Otolaryngology" physician in Normal, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Osf Multi-specialty Group and his current practice location is
207 Landmark Dr, Suite A, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 268-3200.
Dr Thomas Charles Kelly is licensed to practice in Michigan (license number 4301084281) 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 1891997110.
Physician's Profile
| Full Name | Dr Thomas Charles Kelly |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 21 Years |
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| Location | 207 Landmark Dr, Normal, Illinois |
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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. |
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Medical Education and Training:
- Dr Thomas Charles Kelly attended and graduated from Southern Illinois University School Of Medicine in 2004
NPI Data:
- NPI Number: 1891997110
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 11/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274670989
- Enrollment ID: I20091029000472
Medical Identifiers
Medical identifiers for Dr Thomas Charles Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891997110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 4301084281 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Osf Multi-specialty Group | 3678889789 | 1552 |
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 Thomas Charles Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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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 Thomas Charles 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 |
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Dr Thomas Charles Kelly, MD
701 Lee St, Suite 300,
Des Plaines, IL 60016-4539
Ph: (847) 390-5900 | Dr Thomas Charles Kelly, MD
207 Landmark Dr, Suite A,
Normal, IL 61761-3195
Ph: (309) 268-3200 |
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