John Michael Kelley, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Utica, New York. He went to University Of Vermont College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Bassett Healthcare and his current practice location is
2211 Genesee St, Utica, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 733-7798.
John Michael Kelley is licensed to practice in New York (license number 190295-1) 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 1750338745.
Physician's Profile
Full Name | John Michael Kelley |
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Gender | Male |
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Speciality | Cardiac Surgery |
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Experience | 37 Years |
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Location | 2211 Genesee St, Utica, New York |
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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. |
Medical Education and Training:
- John Michael Kelley attended and graduated from University Of Vermont College Of Medicine in 1987
NPI Data:
- NPI Number: 1750338745
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 04/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 4183762958
- Enrollment ID: I20091116000406
Medical Identifiers
Medical identifiers for John Michael Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750338745 | NPI | - | NPPES |
01489990 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 190295-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bassett Healthcare | 3779488325 | 676 |
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 Michael Kelley allows following entities to bill medicare on his behalf.
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
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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 Michael 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 |
John Michael Kelley, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-4770 | John Michael Kelley, MD 2211 Genesee St, Utica, NY 13501-5930 Ph: (315) 733-7798 |
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