Michael Kelly, MD is a medicare enrolled "Plastic Surgery" physician in Greensboro, Georgia. His current practice location is
1000 Cowles Clinc Way, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 543-5858.
Michael Kelly is licensed to practice in Georgia (license number 85769) 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 1942380167.
Physician's Profile
Full Name | Michael Kelly |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 1000 Cowles Clinc Way, Greensboro, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942380167
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567614035
- Enrollment ID: I20220920002950
Medical Identifiers
Medical identifiers for Michael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942380167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 58213 (Florida) | Secondary |
208200000X | Plastic Surgery | 85769 (Georgia) | 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. Michael Kelly allows following entities to bill medicare on his behalf.
Entity Name | Georgia Skin Cancer & Aestheitic Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205026168 PECOS PAC ID: 0244328649 Enrollment ID: O20071119000529 |
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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. Michael 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 |
Michael Kelly, MD 1180 Resurgence Dr Ste 100, Watkinsville, GA 30677-7211 Ph: (305) 595-2969 | Michael Kelly, MD 1000 Cowles Clinc Way, Greensboro, GA 30642-5285 Ph: (706) 543-5858 |
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