Kelly Jean Cushing, DO - Medicare Family Practice in Boulder, CO

Kelly Jean Cushing, DO is a medicare enrolled "Hospitalist" physician in Boulder, Colorado. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Boulder Community Health and her current practice location is 4747 Arapahoe Ave, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 415-7610.

Kelly Jean Cushing is licensed to practice in Colorado (license number DR.0056124) 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 1710910831.

Contact Information

Kelly Jean Cushing, DO
4747 Arapahoe Ave,
Boulder, CO 80303-1133
(303) 415-7610
(303) 415-7618

Map and Direction




Physician's Profile

Full NameKelly Jean Cushing
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location4747 Arapahoe Ave, Boulder, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Jean Cushing graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1710910831
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 11/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9830284710
  • Enrollment ID: I20160111001760

Medical Identifiers

Medical identifiers for Kelly Jean Cushing such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710910831NPI-NPPES
500622186MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist DR.0056124 (Colorado)Primary
207Q00000XFamily Medicine DR.0056124 (Colorado)Secondary
207Q00000XFamily Medicine DO27740 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder Community HealthBoulder, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boulder Community Health6800707233212

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 Jean Cushing allows following entities to bill medicare on her behalf.
Entity NameBoulder Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284

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 Jean Cushing 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 Jean Cushing, DO
5450 Western Ave,
Boulder, CO 80301-2709

Ph: (303) 415-7610
Kelly Jean Cushing, DO
4747 Arapahoe Ave,
Boulder, CO 80303-1133

Ph: (303) 415-7610

Reviews and Comments


Hospitalist Doctors in Boulder, CO

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Tara M Snow, MD
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Practice Location: 4747 Arapahoe Ave, Boulder, CO 80303
Phone: 303-415-7610    Fax: 303-415-7618
Diana L Mancini, MD
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Practice Location: 4747 Arapahoe Ave, Boulder, CO 80303
Phone: 303-415-7610    Fax: 303-415-7618

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.