Kelsey Ann Kapolka, MD in Dayton, OH

Kelsey Ann Kapolka, MD is a medicare enrolled "Pediatrics" physician in Dayton, Ohio. Her current practice location is 1010 Valley St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-4000.

Kelsey Ann Kapolka is licensed to practice in Ohio (license number 35.136259) 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 1841645017.

Contact Information

	Kelsey Ann Kapolka, MD
	1010 Valley St, Dayton, OH 45404-2070
	(937) 641-4000
	(937) 641-4500

Map and Direction

Physician's Profile

Full Name	Kelsey Ann Kapolka
Gender	Female
Speciality	Pediatrics
Location	1010 Valley St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841645017
Provider Enumeration Date: 04/25/2016
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3274949516
Enrollment ID: I20210310002105

Medical Identifiers

Medical identifiers for Kelsey Ann Kapolka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841645017	NPI	-	NPPES
0372729	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.136259 (Ohio)	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. Kelsey Ann Kapolka allows following entities to bill medicare on her behalf.

Entity Name	Dayton Childrens Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690

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. Kelsey Ann Kapolka 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
Kelsey Ann Kapolka, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000	Kelsey Ann Kapolka, MD 1010 Valley St, Dayton, OH 45404-2070 Ph: (937) 641-4000

Reviews and Comments

Pediatrics Doctors in Dayton, OH

Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802

Kelsey Ann Kapolka, MD - Medicare Pediatrics in Dayton, OH