Mr Sean Thomas Kelly, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Tampa, Florida. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Medical Service Association Inc and his current practice location is
1 Tampa General Cir, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 844-7000.
Mr Sean Thomas Kelly is licensed to practice in Florida (license number APRN11011587) 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 1649864232.
Physician's Profile
| Full Name | Mr Sean Thomas Kelly |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1 Tampa General Cir, Tampa, Florida |
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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:
- Mr Sean Thomas Kelly graduated from medical school in 2020
NPI Data:
- NPI Number: 1649864232
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 02/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123411030
- Enrollment ID: I20220216001926
Medical Identifiers
Medical identifiers for Mr Sean Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649864232 | NPI | - | NPPES |
| OTHT1 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | APRN11011587 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN11011587 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Medical Service Association Inc | 6800790221 | 583 |
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. Mr Sean Thomas Kelly allows following entities to bill medicare on his behalf.
| Entity Name | University Medical Service Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130 |
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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. Mr Sean Thomas 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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Mr Sean Thomas Kelly, APRN, AGACNP-BC
Po Box 917770,
Orlando, FL 32891-0001
Ph: () - | Mr Sean Thomas Kelly, APRN, AGACNP-BC
1 Tampa General Cir,
Tampa, FL 33606-3571
Ph: (813) 844-7000 |
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