Kelly Mcdonough, DO in Providence, RI - Medicare Emergency Medicine

Kelly Mcdonough, DO is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. She went to University Of New England, College Of Osteo Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Steward Emergency Physicians Inc, Coastal Medical Associates and her current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 274-1122.

Kelly Mcdonough is licensed to practice in Massachusetts (license number 258025) 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 1578859872.

Contact Information

	Kelly Mcdonough, DO
	101 Dudley St, Providence, RI 02905-2401
	(401) 274-1122
	(401) 453-7597

Map and Direction

Physician's Profile

Full Name	Kelly Mcdonough
Gender	Female
Speciality	Emergency Medicine
Experience	13 Years
Location	101 Dudley St, Providence, Rhode Island
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 Mcdonough attended and graduated from University Of New England, College Of Osteo Medicine in 2011

NPI Data:

NPI Number: 1578859872
Provider Enumeration Date: 06/24/2011
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 1052624152
Enrollment ID: I20150720000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1578859872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	258025 (Massachusetts)	Primary
390200000X	Student In An Organized Health Care Education/training Program	LP02223 (Rhode Island)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Shore Hospital	South weymouth, MA	Hospital
Tufts Medical Center	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Steward Emergency Physicians Inc	0244401404	144
Coastal Medical Associates	7113029257	424

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 Mcdonough allows following entities to bill medicare on her behalf.

Entity Name	Coastal Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057

Entity Name	Tufts Medical Center Ep Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609015262 PECOS PAC ID: 0446306716 Enrollment ID: O20090929000298

Entity Name	Steward Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768

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 Mcdonough 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 Mcdonough, DO 101 Dudley St, Pho Office, Providence, RI 02905-2401 Ph: (401) 274-1122	Kelly Mcdonough, DO 101 Dudley St, Providence, RI 02905-2401 Ph: (401) 274-1122

Reviews and Comments

Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538
Dr. Gregory R Lockhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 Fax: 401-427-7795
Ian M Jacobson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 330-493-4443
Dr. Daniel Shanin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000
Dr. Oriane Diana Longerstaey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 704-355-3181
Rachel Smith Shain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6489 Fax: 401-444-6662
Otto Liebmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538

Kelly Mcdonough, DO - Medicare Emergency Medicine in Providence, RI