Julie L Kelley, MD is a medicare enrolled "Family Medicine" physician in Red Bud, Illinois. Her current practice location is
325 Spring St, Red Bud, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 282-3831.
Julie L Kelley is licensed to practice in Illinois (license number 36100230) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306980552.
Physician's Profile
Full Name | Julie L Kelley |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 325 Spring St, Red Bud, Illinois |
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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: 1306980552
- Provider Enumeration Date: 02/19/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345273579
- Enrollment ID: I20050916000808
Medical Identifiers
Medical identifiers for Julie L Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306980552 | NPI | - | NPPES |
36100230 | Other | IL | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 36100230 (Illinois) | 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. Julie L Kelley allows following entities to bill medicare on her behalf.
Entity Name | Deaconess Illinois Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
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Entity Name | Deaconess Illinois Red Bud Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619693926 PECOS PAC ID: 9537531579 Enrollment ID: O20230221000484 |
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Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
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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. Julie L 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 |
Julie L Kelley, MD 325 Spring St, Red Bud, IL 62278-1105 Ph: (618) 282-3831 | Julie L Kelley, MD 325 Spring St, Red Bud, IL 62278-1105 Ph: (618) 282-3831 |
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