Kelly Janish, MD is a medicare enrolled "Pediatrics" physician in Woodway, Texas. Her current practice location is
6101 Woodway Dr, Suite 230, Woodway, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 537-6400.
Kelly Janish is licensed to practice in Texas (license number P0235) 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 1942463062.
Physician's Profile
| Full Name | Kelly Janish |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6101 Woodway Dr, Woodway, Texas |
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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: 1942463062
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 01/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 3779756770
- Enrollment ID: I20111108000715
Medical Identifiers
Medical identifiers for Kelly Janish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942463062 | NPI | - | NPPES |
| 084249401 | Other | TX | GROUP MEDICAID |
| 285536301 | Medicaid | TX | |
| 00N59X | Other | TX | BCBS |
| 1932210838 | Other | TX | GROUP TPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | P0235 (Texas) | 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 Janish allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health Alliance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307 |
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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 Janish 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 |
|---|
Kelly Janish, MD
Po Box 18962,
Belfast, ME 04915-4084
Ph: (800) 566-5050 | Kelly Janish, MD
6101 Woodway Dr, Suite 230,
Woodway, TX 76712-6111
Ph: (254) 537-6400 |
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