Kelley Jean Joy, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Pryor, Oklahoma. Her current practice location is
109 N Fairland St, Ste 105, Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 825-9900.
Kelley Jean Joy is licensed to practice in Oklahoma (license number 3926) 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 1225057581.
Physician's Profile
| Full Name | Kelley Jean Joy |
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| Gender | Female |
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| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 109 N Fairland St, Pryor, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225057581
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365336393
- Enrollment ID: I20180116001758
Medical Identifiers
Medical identifiers for Kelley Jean Joy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225057581 | NPI | - | NPPES |
| 030474832 | Other | OK | TAX ID # |
| 100195450B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 115577 (Missouri) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 115577 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 3926 (Oklahoma) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 3926 (Oklahoma) | 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. Kelley Jean Joy allows following entities to bill medicare on her behalf.
| Entity Name | Ozark Tri-county Health Care Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265428791
PECOS PAC ID: 8123918257
Enrollment ID: O20040330001501 |
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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. Kelley Jean Joy 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 |
|---|
Kelley Jean Joy, DO
110 Hillview Dr,
Joplin, MO 64804-5229
Ph: (918) 825-9900 | Kelley Jean Joy, DO
109 N Fairland St, Ste 105,
Pryor, OK 74361-4203
Ph: (918) 825-9900 |
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