Malik J Kelly, MD is a medicare enrolled "Hospitalist" physician in Meriden, Connecticut. He went to Saint Louis University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is
435 Lewis Ave, Meriden, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 284-1340.
Malik J Kelly is licensed to practice in Connecticut (license number 045394) 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 1679776900.
Physician's Profile
| Full Name | Malik J Kelly |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 20 Years |
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| Location | 435 Lewis Ave, Meriden, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Malik J Kelly attended and graduated from Saint Louis University School Of Medicine in 2004
NPI Data:
- NPI Number: 1679776900
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527168780
- Enrollment ID: I20091007000594
Medical Identifiers
Medical identifiers for Malik J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679776900 | NPI | - | NPPES |
| 40190 | Other | CT | CDS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 045394 (Connecticut) | Primary |
| 208M00000X | Hospitalist | 045394 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medstar Medical Group Ii Llc | 0547413825 | 1790 |
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. Malik J Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Medstar Medical Group Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347 |
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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. Malik 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 Address | Practice Location Address |
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Malik J Kelly, MD
Po Box 4131,
Yalesville, CT 06492-1481
Ph: (203) 284-1340 | Malik J Kelly, MD
435 Lewis Ave,
Meriden, CT 06451-2101
Ph: (203) 284-1340 |
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