Kelly A Kinsley, MD is a medicare enrolled "Dermatology" physician in Arcata, California. He went to Loma Linda University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice North Pacific Dermatology A Medical Corporation and his current practice location is
4715 Valley East Blvd, Suite 3, Arcata, California. You can reach out to his office (for appointments etc.) via phone at
(707) 822-3376.
Kelly A Kinsley is licensed to practice in California (license number G77600) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013091958.
Physician's Profile
| Full Name | Kelly A Kinsley |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 35 Years |
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| Location | 4715 Valley East Blvd, Arcata, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly A Kinsley attended and graduated from Loma Linda University School Of Medicine in 1990
NPI Data:
- NPI Number: 1013091958
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 02/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 8123939071
- Enrollment ID: I20070710000474
Medical Identifiers
Medical identifiers for Kelly A Kinsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013091958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | G77600 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Pacific Dermatology A Medical Corporation | 4981704723 | 4 |
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. Kelly A Kinsley allows following entities to bill medicare on his behalf.
| Entity Name | North Pacific Dermatology A Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548489602
PECOS PAC ID: 4981704723
Enrollment ID: O20070710000465 |
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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. Kelly A Kinsley 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 |
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Kelly A Kinsley, MD
1575 S Railroad Ave,
Crescent City, CA 95531-6821
Ph: (707) 822-3376 | Kelly A Kinsley, MD
4715 Valley East Blvd, Suite 3,
Arcata, CA 95521-3584
Ph: (707) 822-3376 |
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