John B Kelly, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Wasilla, Alaska. He went to University Of Colorado School Of Medicine, Aurora and graduated in 1986 and has 38 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Christine Bailes Llc, Coastal Neurology And Neurosurgery Inc and his current practice location is
3505 E Meridian Park Loop Ste 100, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 864-0022.
John B Kelly is licensed to practice in Alaska (license number 203883) 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 1407855315.
Physician's Profile
| Full Name | John B Kelly |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 38 Years |
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| Location | 3505 E Meridian Park Loop Ste 100, Wasilla, Alaska |
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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:
- John B Kelly attended and graduated from University Of Colorado School Of Medicine, Aurora in 1986
NPI Data:
- NPI Number: 1407855315
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678466570
- Enrollment ID: I20231019002342
Medical Identifiers
Medical identifiers for John B Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407855315 | NPI | - | NPPES |
| 1740353 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 27953 (Kentucky) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 27953 (Kentucky) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 203883 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Christine Bailes Llc | 6901188937 | 3 |
| Coastal Neurology And Neurosurgery Inc | 9436303427 | 10 |
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. John B Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Neurology And Neurosurgery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689927626
PECOS PAC ID: 9436303427
Enrollment ID: O20130128000361 |
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| Entity Name | Christine Bailes Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558806901
PECOS PAC ID: 6901188937
Enrollment ID: O20170126000903 |
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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. John B 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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John B Kelly, MD
3505 E Meridian Park Loop Ste 100,
Wasilla, AK 99654-7242
Ph: (907) 864-0022 | John B Kelly, MD
3505 E Meridian Park Loop Ste 100,
Wasilla, AK 99654-7242
Ph: (907) 864-0022 |
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