Kelly Renee Deatley, MD - Medicare Family Practice in Lebanon, KY

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Kelly Renee Deatley, MD is a medicare enrolled "Family Medicine" physician in Lebanon, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Vmd Primary Providers Central Kentucky and her current practice location is 325 W Walnut St Ste 600, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 699-9500.

Kelly Renee Deatley is licensed to practice in Kentucky (license number 51438) 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 1467848952.

Contact Information

Kelly Renee Deatley, MD
325 W Walnut St Ste 600,
Lebanon, KY 40033
(270) 699-9500
(270) 699-9550

Map and Direction




Physician's Profile

Full NameKelly Renee Deatley
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location325 W Walnut St Ste 600, Lebanon, Kentucky
Accepts Medicare AssignmentsYes. 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 Renee Deatley attended and graduated from University Of Louisville School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1467848952
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 06/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446547772
  • Enrollment ID: I20170317001912

Medical Identifiers

Medical identifiers for Kelly Renee Deatley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467848952NPI-NPPES
7100432940MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R3750 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 51438 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intrepid Usa Healthcare ServicesElizabethtown, KYHome health agency
Spring View HospitalLebanon, KYHospital
Taylor Regional HospitalCampbellsville, KYHospital
Flaget Memorial HospitalBardstown, KYHospital
The Village Of Lebanon Ii, LlcLebanon, KYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Orthopedic Rehabilitation Llc0345157293731
Vmd Primary Providers Central Kentucky670911906831

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 Renee Deatley allows following entities to bill medicare on her behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656
Entity NameFamily & Internal Medicine Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780682609
PECOS PAC ID: 9335051002
Enrollment ID: O20040302000589
Entity NameVmd Primary Providers Central Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831674654
PECOS PAC ID: 6709119068
Enrollment ID: O20190531002182

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 Renee Deatley 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 Renee Deatley, MD
325 W Walnut St Ste 600,
Lebanon, KY 40033-1378

Ph: (270) 699-9500		Kelly Renee Deatley, MD
325 W Walnut St Ste 600,
Lebanon, KY 40033

Ph: (270) 699-9500

Reviews and Comments


Family Medicine Doctors in Lebanon, KY

Dr. Michelle Jo Leathers, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 W Walnut St, Lebanon, KY 40033
Phone: 270-699-9500    Fax: 270-699-9550
Dr. Brian Fraser Scott, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 325 W Walnut St, Lebanon, KY 40033
Phone: 270-699-9500    Fax: 270-699-9550
Dr. Richard Vaughn Steeves, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 325 W Walnut St, Lebanon, KY 40033
Phone: 270-699-9500    Fax: 270-699-9550

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.