Joseph P Kelly, DO - Medicare Orthopaedic Surgery in Eagle, ID

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Joseph P Kelly, DO is a medicare enrolled "Orthopaedic Surgery" physician in Eagle, Idaho. His current practice location is 3381 W Bavaria St, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 639-4800.

Joseph P Kelly is licensed to practice in Idaho (license number O-1746) 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 1164917779.

Contact Information

Joseph P Kelly, DO
3381 W Bavaria St,
Eagle, ID 83616-5341
(208) 639-4800
Not Available

Map and Direction




Physician's Profile

Full NameJoseph P Kelly
GenderMale
SpecialityOrthopaedic Surgery
Location3381 W Bavaria St, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164917779
  • Provider Enumeration Date: 06/26/2018
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092173773
  • Enrollment ID: I20230628002028

Medical Identifiers

Medical identifiers for Joseph P Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164917779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery O-1746 (Idaho)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. Joseph P Kelly allows following entities to bill medicare on his behalf.
Entity NameBoise Shoulder Clinic, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760581409
PECOS PAC ID: 4688671621
Enrollment ID: O20061103000362
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Joseph P 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 AddressPractice Location Address
Joseph P Kelly, DO
1940 S Bonito Way Ste 190,
Meridian, ID 83642-5618

Ph: (208) 287-9420		Joseph P Kelly, DO
3381 W Bavaria St,
Eagle, ID 83616-5341

Ph: (208) 639-4800

Reviews and Comments


Orthopaedic Surgery Doctors in Eagle, ID

Dr. Lisa R Rendon, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3381 W Bavaria St, Eagle, ID 83616
Phone: 208-287-1110    Fax: 208-639-4801
Dr. Joseph Gordon Daines, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 766 W Colchester Dr, Eagle, ID 83616
Phone: 208-401-4790    
Dr. Vipul N Nanavati, MD, BSME, CAQH
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3381 W Bavaria St, Eagle, ID 83616
Phone: 208-639-4800    Fax: 208-639-4801
Dr. Carl Scott Humphrey, MD
Orthopedic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 3381 W Bavaria Street, Eagle, ID 83616
Phone: 208-639-4800    Fax: 208-639-4801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.