Mick Kelly, MD in Pewaukee, WI - Medicare Orthopedic Surgery

Mick Kelly, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pewaukee, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopaedic Associates Of Wisconsin Sc and his current practice location is N15w28300 Golf Rd, Pewaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 303-5055.

Mick Kelly is licensed to practice in Wisconsin (license number 75716) 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 1053793208.

Contact Information

	Mick Kelly, MD
	N15w28300 Golf Rd, Pewaukee, WI 53072-4800
	(262) 303-5055
	(262) 303-5057

Map and Direction

Physician's Profile

Full Name	Mick Kelly
Gender	Male
Speciality	Orthopedic Surgery
Experience	9 Years
Location	N15w28300 Golf Rd, Pewaukee, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mick Kelly attended and graduated from University Of Wisconsin School Of Medicine in 2015

NPI Data:

NPI Number: 1053793208
Provider Enumeration Date: 06/24/2015
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5294025029
Enrollment ID: I20210809000856

Medical Identifiers

Medical identifiers for Mick Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053793208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	125066593 (Illinois)	Secondary
207XS0114X	Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery	11729390-1205 (Utah)	Secondary
207X00000X	Orthopaedic Surgery	75716 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prohealth Home Care	Waukesha, WI	Home health agency
Oconomowoc Memorial Hospital	Oconomowoc, WI	Hospital
Waukesha Memorial Hospital	Waukesha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic Associates Of Wisconsin Sc	1052200953	76

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. Mick Kelly allows following entities to bill medicare on his behalf.

Entity Name	Orthopaedic Associates Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689656951 PECOS PAC ID: 1052200953 Enrollment ID: O20040310001280

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. Mick 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
Mick Kelly, MD N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055	Mick Kelly, MD N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055

Reviews and Comments

Orthopaedic Surgery Doctors in Pewaukee, WI

Mr. William Alexander Davies, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057
Dr. Paul Ronald Johnson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057
Dr. Scott Bennett Schneider, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820
Dr. Christopher Michael Kilian, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057
Mr. Thomas Scott Stanwyck, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1231 George Towne Dr, Suite B, Pewaukee, WI 53072 Phone: 262-746-9088 Fax: 262-544-6820
Mr. Steven Jon Merkow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820

Mick Kelly, MD - Medicare Orthopedic Surgery in Pewaukee, WI