Mark C Kelley, DO in Grenada, MS - Medicare Dermatology

Mark C Kelley, DO is a medicare enrolled "Dermatology" physician in Grenada, Mississippi. His current practice location is 1300 Sunset Dr, Suite A, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 227-4463.

Mark C Kelley is licensed to practice in Mississippi (license number 16693) 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 1427004704.

Contact Information

	Mark C Kelley, DO
	1300 Sunset Dr, Suite A, Grenada, MS 38901-4086
	(662) 227-4463
	(662) 226-5257

Map and Direction

Physician's Profile

Full Name	Mark C Kelley
Gender	Male
Speciality	Dermatology
Location	1300 Sunset Dr, Grenada, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427004704
Provider Enumeration Date: 05/26/2006
Last Update Date: 04/15/2008

Medicare PECOS Information:

PECOS PAC ID: 0042285942
Enrollment ID: I20040901001144

Medical Identifiers

Medical identifiers for Mark C Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427004704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	16693 (Mississippi)	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. Mark C Kelley allows following entities to bill medicare on his behalf.

Entity Name	John A Marascalco, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457577074 PECOS PAC ID: 5991770653 Enrollment ID: O20040827000222

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. Mark C Kelley 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
Mark C Kelley, DO 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 Ph: (662) 227-4463	Mark C Kelley, DO 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 Ph: (662) 227-4463

Reviews and Comments

Dermatology Doctors in Grenada, MS

Dr. John A Marascalco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Suite A, Grenada, MS 38901 Phone: 662-227-4463 Fax: 662-226-5257
Catiecha L Eskridge, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1162 Franklin St, Grenada, MS 38901 Phone: 662-417-9102
Dr. Cesar Enrique Guerrero, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 80 S Main St, Grenada, MS 38901 Phone: 662-307-9030 Fax: 662-307-9038

Mark C Kelley, DO - Medicare Dermatology in Grenada, MS