Susan C Kelly, DO is a medicare enrolled "Dermatology - Dermatopathology" physician in North Kingstown, Rhode Island. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. Her current practice location is
7 Weaver Rd, North Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 667-0905.
Susan C Kelly is licensed to practice in Rhode Island (license number DO00604) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548200074.
Physician's Profile
Full Name | Susan C Kelly |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 25 Years |
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Location | 7 Weaver Rd, North Kingstown, Rhode Island |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan C Kelly graduated from medical school in 1999
NPI Data:
- NPI Number: 1548200074
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 7315967494
- Enrollment ID: I20080605000263
Medical Identifiers
Medical identifiers for Susan C Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548200074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | DO00604 (Rhode Island) | 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. Susan C Kelly allows following entities to bill medicare on her behalf.
Entity Name | Sue Kelly Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851573760 PECOS PAC ID: 2567532344 Enrollment ID: O20080605000331 |
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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. Susan C 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 |
Susan C Kelly, DO 7 Weaver Rd, North Kingstown, RI 02852-7135 Ph: (401) 667-0905 | Susan C Kelly, DO 7 Weaver Rd, North Kingstown, RI 02852-7135 Ph: (401) 667-0905 |
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