Lawrence J Kelly, MD - Medicare Orthopedic Surgery in Surprise, AZ

Lawrence J Kelly, MD is a medicare enrolled "Orthopaedic Surgery" physician in Surprise, Arizona. He went to University Of Nevada School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Bhsm Rehabilitation Llc, Banner Physician Specialists Arizona Llc and his current practice location is 12361 W Bola Dr, Suite 100, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-5626.

Lawrence J Kelly is licensed to practice in Arizona (license number 27172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124014758.

Contact Information

Lawrence J Kelly, MD
12361 W Bola Dr, Suite 100,
Surprise, AZ 85378-9021
(623) 584-5626
(623) 584-8998

Map and Direction




Physician's Profile

Full NameLawrence J Kelly
GenderMale
SpecialityOrthopedic Surgery
Experience34 Years
Location12361 W Bola Dr, Surprise, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence J Kelly attended and graduated from University Of Nevada School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1124014758
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 06/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8729037403
  • Enrollment ID: I20050120000211

Medical Identifiers

Medical identifiers for Lawrence J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124014758NPI-NPPES
5920416OtherAZAETNA
P00188666OtherAZRAILROAD MEDICARE
2036792OtherAZUNITED HEALTHCARE
2Z1651OtherAZHEALTHNET
1124014758OtherAZAHCCCS
P0836100OtherAZBCBS OUT OF AREA
514829MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 27172 (Arizona)Primary
207XX0005XOrthopaedic Surgery - Sports Medicine 35083 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Boswell Medical CenterSun city, AZHospital
Banner Del E. Webb Medical CenterSun city west, AZHospital
Banner Estrella Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Banner Physician Specialists Arizona Llc6204002272255

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. Lawrence J Kelly allows following entities to bill medicare on his behalf.
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509

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. Lawrence J Kelly 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
Lawrence J Kelly, MD
12361 W Bola Dr, Suite 100,
Surprise, AZ 85378-9021

Ph: (623) 584-5626
Lawrence J Kelly, MD
12361 W Bola Dr, Suite 100,
Surprise, AZ 85378-9021

Ph: (623) 584-5626

Reviews and Comments


Orthopaedic Surgery Doctors in Surprise, AZ

David A Rand, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374
Phone: 623-374-7774    Fax: 855-420-6361
Martin G Sterusky, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 12361 W Bola Dr, Suite100, Surprise, AZ 85378
Phone: 623-584-5626    Fax: 623-584-8998
Robert C Waldrip, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 12361 W Bola Dr, Suite 100, Surprise, AZ 85378
Phone: 623-584-5626    Fax: 623-544-9122

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.