Dr Kelly O'donnell, MD is a medicare enrolled "Phlebology" physician in Annapolis, Maryland. She went to University Of Maryland School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Practice. Her current practice location is
166 Defense Hwy, Suite 101, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 224-3390.
Dr Kelly O'donnell is licensed to practice in Maryland (license number D0042645) 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 1619997772.
Physician's Profile
Full Name | Dr Kelly O'donnell |
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Gender | Female |
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Speciality | General Practice |
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Experience | 34 Years |
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Location | 166 Defense Hwy, Annapolis, Maryland |
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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:
- Dr Kelly O'donnell attended and graduated from University Of Maryland School Of Medicine in 1990
NPI Data:
- NPI Number: 1619997772
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002973567
- Enrollment ID: I20090327000119
Medical Identifiers
Medical identifiers for Dr Kelly O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619997772 | NPI | - | NPPES |
027449600 | Medicaid | DC | |
5711193 | Other | VA | VIRGINIA MEDICAID |
566739 | Other | DC | NCPPO |
7016224 | Other | DC | AETNA NON HMO |
212103 | Other | DC | KAISER |
3058246001 | Other | DC | CIGNA HMO |
234501301 | Medicaid | MD | |
0113 | Other | DC | CAREFIRST BCBS |
2561122 | Other | DC | AETNA HMO |
441777 | Other | VA | ANTHEM BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | MD32654 (District Of Columbia) | Secondary |
202K00000X | Phlebology | D0042645 (Maryland) | 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. Dr Kelly O'donnell allows following entities to bill medicare on her behalf.
Entity Name | Vein And Wellness Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306172309 PECOS PAC ID: 4486794443 Enrollment ID: O20091223000017 |
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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. Dr Kelly O'donnell 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 |
Dr Kelly O'donnell, MD 166 Defense Hwy Ste 101, Annapolis, MD 21401-8921 Ph: (410) 224-3390 | Dr Kelly O'donnell, MD 166 Defense Hwy, Suite 101, Annapolis, MD 21401-8919 Ph: (410) 224-3390 |
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