Kevin M Kelly Jr, - Medicare Emergency Medicine in La Mesa, CA

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Kevin M Kelly Jr, is a medicare enrolled "Emergency Medicine" physician in La Mesa, California. His current practice location is 5555 Grossmont Center Drive, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 644-4401.

Kevin M Kelly Jr is licensed to practice in California (license number A71711) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811924764.

Contact Information

Kevin M Kelly Jr,
5555 Grossmont Center Drive,
La Mesa, CA 91942-3019
(619) 644-4401
Not Available

Map and Direction




Physician's Profile

Full NameKevin M Kelly Jr
GenderMale
SpecialityEmergency Medicine
Location5555 Grossmont Center Drive, La Mesa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811924764
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 08/26/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6002719887
  • Enrollment ID: I20040129000399

Medical Identifiers

Medical identifiers for Kevin M Kelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811924764NPI-NPPES
A71711MedicaidCA
00A717110MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A71711 (California)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. Kevin M Kelly Jr allows following entities to bill medicare on his behalf.
Entity NameEmergency Services Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699725069
PECOS PAC ID: 6204720196
Enrollment ID: O20051215000870
Entity NameAlvarado Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285811992
PECOS PAC ID: 0042396251
Enrollment ID: O20080328000280
Entity NameSan Diego Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194429233
PECOS PAC ID: 1052771698
Enrollment ID: O20230714001172

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. Kevin M Kelly Jr 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
Kevin M Kelly Jr,
Po Box 12170,
Westminster, CA 92685-2170

Ph: (877) 818-6102		Kevin M Kelly Jr,
5555 Grossmont Center Drive,
La Mesa, CA 91942-3019

Ph: (619) 644-4401

Reviews and Comments


Emergency Medicine Doctors in La Mesa, CA

Brendan J Lee, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-644-4401    
Christa Ann Landowska Arefieva, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
David Miles, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Bret Winners,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Dr. Jack J Springer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-710-4145    
John Kim, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Dr. Tania Portillo, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    

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.