Kelly Gendall, MD is a medicare enrolled "General Practice" physician in Neptune Beach, Florida. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Family Care Partners Of Northeast Florida Llc and her current practice location is
410 Atlantic Blvd, Neptune Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(610) 217-2625.
Kelly Gendall is licensed to practice in Florida (license number ME132441) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942418579.
Physician's Profile
| Full Name | Kelly Gendall |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 20 Years |
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| Location | 410 Atlantic Blvd, Neptune Beach, Florida |
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| Accepts Medicare Assignments | Yes. She 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 Gendall graduated from medical school in 2004
NPI Data:
- NPI Number: 1942418579
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052469244
- Enrollment ID: I20210929002584
Medical Identifiers
Medical identifiers for Kelly Gendall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942418579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ME132441 (Florida) | Secondary |
| 208D00000X | General Practice | ME132441 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Care Partners Of Northeast Florida Llc | 7214832245 | 25 |
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 Gendall allows following entities to bill medicare on her behalf.
| Entity Name | Family Care Partners Of Northeast Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750323143
PECOS PAC ID: 7214832245
Enrollment ID: O20031203000590 |
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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 Gendall 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 Gendall, MD
255 12th St,
Atlantic Beach, FL 32233-5707
Ph: () - | Kelly Gendall, MD
410 Atlantic Blvd,
Neptune Beach, FL 32266-4022
Ph: (610) 217-2625 |
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