Kelly A Rourke, MD - Medicare Internal Medicine in Edwardsville, IL

Kelly A Rourke, MD is a medicare enrolled "Internal Medicine" physician in Edwardsville, Illinois. Her current practice location is 108 Gateway Commerce Center Dr N, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 219-7470.

Kelly A Rourke is licensed to practice in Missouri (license number R8N25) 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 1033185285.

Contact Information

Kelly A Rourke, MD
108 Gateway Commerce Center Dr N,
Edwardsville, IL 62025-2818
(618) 219-7470
Not Available

Map and Direction




Physician's Profile

Full NameKelly A Rourke
GenderFemale
SpecialityInternal Medicine
Location108 Gateway Commerce Center Dr N, Edwardsville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033185285
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 04/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648377721
  • Enrollment ID: I20070524000383

Medical Identifiers

Medical identifiers for Kelly A Rourke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033185285NPI-NPPES
110178092OtherMORAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R8N25 (Missouri)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. Kelly A Rourke allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073739041
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000058

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 Rourke 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
Kelly A Rourke, MD
Po Box 776084,
Chicago, IL 60677-6084

Ph: (618) 219-7470
Kelly A Rourke, MD
108 Gateway Commerce Center Dr N,
Edwardsville, IL 62025-2818

Ph: (618) 219-7470

Reviews and Comments


Internal Medicine Doctors in Edwardsville, IL

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Verah Bonareri,
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Phone: 618-288-8850    Fax: 618-288-8943
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Practice Location: 2 Club Centre Ct Ste 3, Edwardsville, IL 62025
Phone: 314-257-0060    Fax: 314-912-0208

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).

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