Kelly Maedo, MD in College Station, TX - Medicare Family Practice

Kelly Maedo, MD is a medicare enrolled "Family Medicine" physician in College Station, Texas. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Altus Exceptional Physician Group Pllc, Central Texas Osteopathic Medical Associates Pa and her current practice location is 2911 Texas Ave S, Suite 103, College Station, Texas. You can reach out to her office (for appointments etc.) via phone at (979) 764-2882.

Kelly Maedo is licensed to practice in Texas (license number L5032) 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 1104838887.

Contact Information

	Kelly Maedo, MD
	2911 Texas Ave S, Suite 103, College Station, TX 77845-5387
	(979) 764-2882
	(979) 764-2828

Map and Direction

Physician's Profile

Full Name	Kelly Maedo
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	2911 Texas Ave S, College Station, Texas
Accepts Medicare Assignments	Yes. 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 Maedo attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1999

NPI Data:

NPI Number: 1104838887
Provider Enumeration Date: 08/12/2006
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8628032554
Enrollment ID: I20080225000655

Medical Identifiers

Medical identifiers for Kelly Maedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104838887	NPI	-	NPPES
157550803	Medicaid	TX
8S6084	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	L5032 (Texas)	Secondary
207Q00000X	Family Medicine	L5032 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Altus Lumberton Hospital	Lumberton, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Altus Exceptional Physician Group Pllc	0042662462	16
Central Texas Osteopathic Medical Associates Pa	5395773105	3

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 Maedo allows following entities to bill medicare on her behalf.

Entity Name	Central Texas Osteopathic Medical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427176007 PECOS PAC ID: 5395773105 Enrollment ID: O20050802001212

Entity Name	Emergency Hospital Systems Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992172019 PECOS PAC ID: 2567765761 Enrollment ID: O20170607000131

Entity Name	Tk Emergency Physicians Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942728019 PECOS PAC ID: 2567799091 Enrollment ID: O20190807000556

Entity Name	Altus Exceptional Physician Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730869207 PECOS PAC ID: 0042662462 Enrollment ID: O20240122000381

Entity Name	Texas Er Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917

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 Maedo 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 Maedo, MD 2911 Texas Ave S, Suite 103, College Station, TX 77845-5387 Ph: (979) 764-2882	Kelly Maedo, MD 2911 Texas Ave S, Suite 103, College Station, TX 77845-5387 Ph: (979) 764-2882

Reviews and Comments

Family Medicine Doctors in College Station, TX

Clayton Thomas Kruger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400
Dr. Bo Xuan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: A P Beutel Health Center, Texas A&m University, College Station, TX 77843 Phone: 979-458-8269 Fax: 979-458-8352
Laura Muehr, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E Ste 100, College Station, TX 77840 Phone: 979-691-3300 Fax: 979-691-3527
Dr. Gary Lambert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Ste. 1100, College Station, TX 77845 Phone: 979-693-2586 Fax: 979-693-7327
Dr. Adel A Massoud, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4421 Highway 6 S, College Station, TX 77845 Phone: 979-690-4260 Fax: 979-690-4476
Dr. Mark Stanley Higgins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300
Dr. Donald Raymond Gehring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 979-691-3300

Kelly Maedo, MD - Medicare Family Practice in College Station, TX