Grant Gordon Kelley, MD in Syracuse, NY

Grant Gordon Kelley, MD is a medicare enrolled "Hospitalist" physician in Syracuse, New York. His current practice location is 301 Prospect Ave, Hospital Internists, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 448-5704.

Grant Gordon Kelley is licensed to practice in New York (license number 205703) 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 1922259845.

Contact Information

	Grant Gordon Kelley, MD
	301 Prospect Ave, Hospital Internists, Syracuse, NY 13203-1807
	(315) 448-5704
	(315) 423-6853

Map and Direction

Physician's Profile

Full Name	Grant Gordon Kelley
Gender	Male
Speciality	Hospitalist
Location	301 Prospect Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922259845
Provider Enumeration Date: 10/09/2008
Last Update Date: 07/12/2010

Medicare PECOS Information:

PECOS PAC ID: 3173676517
Enrollment ID: I20090731000498

Medical Identifiers

Medical identifiers for Grant Gordon Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922259845	NPI	-	NPPES
01724529	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	205703 (New York)	Primary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	205703 (New York)	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. Grant Gordon Kelley allows following entities to bill medicare on his behalf.

Entity Name	Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051

Entity Name	St Joseph's Physician Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Grant Gordon 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
Grant Gordon Kelley, MD 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203-1807 Ph: (315) 448-5704	Grant Gordon Kelley, MD 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203-1807 Ph: (315) 448-5704

Reviews and Comments

Hospitalist Doctors in Syracuse, NY

Xianjin Yi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203 Phone: 315-448-5704 Fax: 315-423-6853
Aisha Khaliq, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5910
Amit S. Dhamoon, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Suny Upstate Medical University, Syracuse, NY 13210 Phone: 315-464-5774 Fax: 315-464-1937
Basel Abuzuaiter, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212 Phone: 315-464-2000 Fax: 315-464-2010
Dinesh Subedi, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5774 Fax: 315-464-1937
Manika Suryadevara, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5450 Fax: 315-464-6322
Radhika Mehra, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Hospitalist Office, Syracuse, NY 13203 Phone: 315-448-5704 Fax: 315-423-6853

Grant Gordon Kelley, MD - Medicare Hospitalist in Syracuse, NY