Kamilah Michelle Kelly, MD is a medicare enrolled "Emergency Medicine" physician in Elkridge, Maryland. Her current practice location is
7377 Washington Blvd, Suite 101, Elkridge, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 379-3051.
Kamilah Michelle Kelly is licensed to practice in Maryland (license number D0062823) 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 1144254814.
Physician's Profile
Full Name | Kamilah Michelle Kelly |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 7377 Washington Blvd, Elkridge, Maryland |
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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: 1144254814
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 12/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 0840222378
- Enrollment ID: I20050906000995
Medical Identifiers
Medical identifiers for Kamilah Michelle Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144254814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | D0062823 (Maryland) | 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. Kamilah Michelle Kelly allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003090879 PECOS PAC ID: 9739260019 Enrollment ID: O20110204000820 |
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Entity Name | Mnr Industries Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093130924 PECOS PAC ID: 7416908843 Enrollment ID: O20160119000098 |
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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. Kamilah Michelle 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 |
Kamilah Michelle Kelly, MD 7377 Washington Blvd, Concentra Medical Center, Elkridge, MD 21075-6360 Ph: (410) 379-3051 | Kamilah Michelle Kelly, MD 7377 Washington Blvd, Suite 101, Elkridge, MD 21075-6360 Ph: (410) 379-3051 |
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