Kelly R Donovan, DO - Medicare Family Medicine in Traverse City, MI

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Kelly R Donovan, DO is a medicare enrolled "Family Medicine" physician in Traverse City, Michigan. Her current practice location is 550 Munson Ave, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-8686.

Kelly R Donovan is licensed to practice in Michigan (license number 5101020231) 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 1215373451.

Contact Information

Kelly R Donovan, DO
550 Munson Ave,
Traverse City, MI 49686-3580
(231) 935-8686
(231) 935-8099

Map and Direction




Physician's Profile

Full NameKelly R Donovan
GenderFemale
SpecialityFamily Medicine
Location550 Munson Ave, Traverse City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215373451
  • Provider Enumeration Date: 05/15/2013
  • Last Update Date: 05/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012203649
  • Enrollment ID: I20160908001375

Medical Identifiers

Medical identifiers for Kelly R Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215373451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101020231 (Michigan)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 R Donovan allows following entities to bill medicare on her behalf.
Entity NameMunson Healthcare Manistee Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649457771
PECOS PAC ID: 3072414333
Enrollment ID: O20040119000647
Entity NameMunson Healthcare Charlevoix Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326124058
PECOS PAC ID: 4284528035
Enrollment ID: O20040211001170
Entity NamePaul Oliver Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427054360
PECOS PAC ID: 8628964848
Enrollment ID: O20040225000359
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164628426
PECOS PAC ID: 8325942535
Enrollment ID: O20040305000525
Entity NameMunson Healthcare Grayling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710383351
PECOS PAC ID: 2062736655
Enrollment ID: O20150326000110
Entity NameMunson Healthcare Cadillac
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336539063
PECOS PAC ID: 6305161514
Enrollment ID: O20150401000808

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 R Donovan 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 R Donovan, DO
1400 Medical Campus Dr,
Traverse City, MI 49684-7823

Ph: (231) 935-8000		Kelly R Donovan, DO
550 Munson Ave,
Traverse City, MI 49686-3580

Ph: (231) 935-8686

Reviews and Comments


Family Medicine Doctors in Traverse City, MI

Satya Pillay, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684
Phone: 231-935-8000    Fax: 231-935-8099
Samantha K Windle, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684
Phone: 231-935-8000    Fax: 231-935-8099
Dr. Donald James Aiken, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16544 Wrightwood Terrace Dr, Traverse City, MI 49686
Phone: 231-223-7465    
Kaitlyn Lee Kilpatrick, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684
Phone: 231-935-8000    Fax: 231-935-8099
Ferris Alkazir, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 Munson Ave, Traverse City, MI 49686
Phone: 231-935-6600    Fax: 231-935-9290
David J Wilcox, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 906 Business Park Dr, Traverse City, MI 49686
Phone: 800-968-6866    
Mark A Jackson, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684
Phone: 231-935-0913    Fax: 231-935-0984

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.