Edward Leslie Kelly, MD in Provo, UT

Edward Leslie Kelly, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Provo, Utah. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice State Of Utah and his current practice location is 1300 E Center St, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 344-4400.

Edward Leslie Kelly is licensed to practice in Washington (license number MD00040860) 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 1013995471.

Contact Information

	Edward Leslie Kelly, MD
	1300 E Center St, Provo, UT 84606-3554
	(801) 344-4400
	(801) 344-4225

Map and Direction

Physician's Profile

Full Name	Edward Leslie Kelly
Gender	Male
Speciality	Psychiatry
Experience	32 Years
Location	1300 E Center St, Provo, Utah
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:

Edward Leslie Kelly graduated from medical school in 1992

NPI Data:

NPI Number: 1013995471
Provider Enumeration Date: 01/05/2006
Last Update Date: 07/02/2020

Medicare PECOS Information:

PECOS PAC ID: 8325079577
Enrollment ID: I20190508001230

Medical Identifiers

Medical identifiers for Edward Leslie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013995471	NPI	-	NPPES
1013995471	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	26951 (Nebraska)	Secondary
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	42929 (Minnesota)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	26951 (Nebraska)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD00040860 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD00040860 (Washington)	Primary
2084P0805X	Psychiatry & Neurology - Geriatric Psychiatry	MD00040860 (Washington)	Secondary
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	MD00040860 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Utah	6800797333	29

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. Edward Leslie Kelly allows following entities to bill medicare on his behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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. Edward Leslie 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
Edward Leslie Kelly, MD Po Box 270, Provo, UT 84603-0270 Ph: (801) 344-4400	Edward Leslie Kelly, MD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400

Reviews and Comments

Psychiatry & Neurology Doctors in Provo, UT

Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Dr. Stephen Peters, PSYD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1200

Edward Leslie Kelly, MD - Medicare Psychiatry in Provo, UT