John J Kelly, MD is a medicare enrolled "Family Medicine" physician in Swannanoa, North Carolina. His current practice location is
2296 Us 70 Hwy, Swannanoa, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 686-5232.
John J Kelly is licensed to practice in North Carolina (license number 24779) 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 1063631745.
Physician's Profile
Full Name | John J Kelly |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2296 Us 70 Hwy, Swannanoa, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063631745
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719027499
- Enrollment ID: I20091211000225
Medical Identifiers
Medical identifiers for John J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063631745 | NPI | - | NPPES |
48212 | Other | NC | BCBS PROVIDER NUMBER |
0170087 | Other | NC | UNITED HEALTH CARE |
8948212 | Medicaid | NC | |
152692 | Other | NC | MID SOUTH |
210331 | Other | NC | CIGNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 24779 (North Carolina) | 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. John J Kelly allows following entities to bill medicare on his behalf.
Entity Name | Kelly Family Medicine Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922771799 PECOS PAC ID: 3072966324 Enrollment ID: O20240202000695 |
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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 J 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 |
John J Kelly, MD 2296 Us 70 Hwy, Swannanoa, NC 28778-8209 Ph: (828) 686-5232 | John J Kelly, MD 2296 Us 70 Hwy, Swannanoa, NC 28778-8209 Ph: (828) 686-5232 |
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