Nicholas Owen Kelley, MD in Decatur, GA

Nicholas Owen Kelley, MD is a medicare enrolled "Pediatrics" physician in Decatur, Georgia. His current practice location is 125 Clairemont Ave Ste 190, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 748-9691.

Nicholas Owen Kelley is licensed to practice in South Carolina (license number 35675) 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 1861729709.

Contact Information

	Nicholas Owen Kelley, MD
	125 Clairemont Ave Ste 190, Decatur, GA 30030
	(404) 748-9691
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Owen Kelley
Gender	Male
Speciality	Pediatrics
Location	125 Clairemont Ave Ste 190, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861729709
Provider Enumeration Date: 11/13/2009
Last Update Date: 05/07/2019

Medicare PECOS Information:

PECOS PAC ID: 0941434625
Enrollment ID: I20160720000054

Medical Identifiers

Medical identifiers for Nicholas Owen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861729709	NPI	-	NPPES
356750	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35675 (South Carolina)	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. Nicholas Owen Kelley allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Nicholas Owen 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
Nicholas Owen Kelley, MD 1875 Century Blvd Ne Ste 150, Atlanta, GA 30345-3323 Ph: (404) 633-4595	Nicholas Owen Kelley, MD 125 Clairemont Ave Ste 190, Decatur, GA 30030 Ph: (404) 748-9691

Reviews and Comments

Pediatrics Doctors in Decatur, GA

Melinda E Shelton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Dr. Laura Smith Lord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1843
Deborah C Pollack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Dr. Peggy Michelle Marcus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Anna Bowen, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 128 Fairview Ave, Decatur, GA 30030 Phone: 706-461-3332
Dr. Bridget Arnold Cobb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-2923 Fax: 404-501-1837
Joseph M Rosenfeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5008 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 770-981-0210 Fax: 770-981-0280

Nicholas Owen Kelley, MD - Medicare Pediatrics in Decatur, GA