Kelly Marie Meyer, DO is a medicare enrolled "Pediatrics" physician in Shelbyville, Indiana. Her current practice location is
2451 Intelliplex Dr Ste 240, Shelbyville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 398-7337.
Kelly Marie Meyer is licensed to practice in Indiana (license number 02007038A) 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 1912228750.
Physician's Profile
Full Name | Kelly Marie Meyer |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2451 Intelliplex Dr Ste 240, Shelbyville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912228750
- Provider Enumeration Date: 06/16/2010
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072755537
- Enrollment ID: I20221216002048
Medical Identifiers
Medical identifiers for Kelly Marie Meyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912228750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 02007038A (Indiana) | 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 Marie Meyer allows following entities to bill medicare on her behalf.
Entity Name | Major Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
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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 Marie Meyer 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 Marie Meyer, DO 30 W Rampart St Ste 200, Shelbyville, IN 46176-8846 Ph: (317) 421-2012 | Kelly Marie Meyer, DO 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 Ph: (317) 398-7337 |
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