Roger Casey Kelly, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Sarasota, Florida. His current practice location is
1700 S Tamiami Trl, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 917-2041.
Roger Casey Kelly is licensed to practice in Florida (license number ) 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 1558941179.
Physician's Profile
Full Name | Roger Casey Kelly |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1700 S Tamiami Trl, Sarasota, Florida |
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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: 1558941179
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981146545
- Enrollment ID: I20240611001420
Medical Identifiers
Medical identifiers for Roger Casey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558941179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OS20414 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Florida) | 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. Roger Casey Kelly allows following entities to bill medicare on his behalf.
Entity Name | Global Physician Network Llc Series I |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316467525 PECOS PAC ID: 7214202365 Enrollment ID: O20170929000797 |
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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. Roger Casey 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 |
Roger Casey Kelly, 1700 S Tamiami Trl, Sarasota, FL 34239-3509 Ph: (941) 917-2041 | Roger Casey Kelly, 1700 S Tamiami Trl, Sarasota, FL 34239-3509 Ph: (941) 917-2041 |
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