Jonathan D Kelly, MD in Winston-salem, NC - Medicare Emergency Medicine

Jonathan D Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Winston-salem, North Carolina. His current practice location is Medical Center Blvd, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Jonathan D Kelly is licensed to practice in North Carolina (license number 2007-00418) 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 1467496422.

Contact Information

	Jonathan D Kelly, MD
	Medical Center Blvd, Winston-salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan D Kelly
Gender	Male
Speciality	Emergency Medicine
Location	Medical Center Blvd, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467496422
Provider Enumeration Date: 06/16/2006
Last Update Date: 08/20/2010

Medicare PECOS Information:

PECOS PAC ID: 7911923412
Enrollment ID: I20070907000387

Medical Identifiers

Medical identifiers for Jonathan D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467496422	NPI	-	NPPES
202034	Other	NC	MEDCOST
1467496422	Medicaid	VA
146FE	Other	NC	BCBS
5906885	Medicaid	NC
9265070	Other	NC	AETNA
810633	Other	NC	PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2007-00418 (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. Jonathan D Kelly allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Jonathan D 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
Jonathan D Kelly, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Jonathan D Kelly, MD Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Emergency Medicine Doctors in Winston-salem, NC

Dr. Toby M. Sullivan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103 Phone: 336-765-3928
Dr. Christopher Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27103 Phone: 336-716-2011
Dr. Peter S. Vrooman Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103 Phone: 336-765-9328
Dr. Mary A Wittler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-5438
Dr. Scott Kribbs, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103 Phone: 336-765-9328
Dr. Gregory P. Tarleton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103 Phone: 336-765-9358
Dr. Daniel G. Sayers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103 Phone: 336-765-9328

Jonathan D Kelly, MD - Medicare Emergency Medicine in Winston-salem, NC