Harlan Hunt Kelley, MD in Shiprock, NM

Harlan Hunt Kelley, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Shiprock, New Mexico. His current practice location is Us Highway 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6401.

Harlan Hunt Kelley is licensed to practice in Arizona (license number 37343) 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 1508973694.

Contact Information

	Harlan Hunt Kelley, MD
	Us Highway 491 North, Shiprock, NM 87420
	(505) 368-6401
	(505) 368-6401

Map and Direction

Physician's Profile

Full Name	Harlan Hunt Kelley
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	Us Highway 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508973694
Provider Enumeration Date: 08/24/2006
Last Update Date: 06/13/2008

Medicare PECOS Information:

PECOS PAC ID: 2062595671
Enrollment ID: I20080205000622

Medical Identifiers

Medical identifiers for Harlan Hunt Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508973694	NPI	-	NPPES
47528257	Medicaid	NM
08234817	Medicaid	CO
282639	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	37343 (Arizona)	Primary

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. Harlan Hunt Kelley allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Harlan Hunt 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
Harlan Hunt Kelley, MD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6401	Harlan Hunt Kelley, MD Us Highway 491 North, Shiprock, NM 87420 Ph: (505) 368-6401

Harlan Hunt Kelley, MD - Medicare Pathology in Shiprock, NM