Theodore M Kelley, MD in Locust, NC - Medicare Family Practice

Theodore M Kelley, MD is a medicare enrolled "Family Medicine" physician in Locust, North Carolina. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is 123 Professional Park Dr, Locust, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 403-6760.

Theodore M Kelley is licensed to practice in North Carolina (license number 2009-00823) 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 1154520823.

Contact Information

	Theodore M Kelley, MD
	123 Professional Park Dr, Locust, NC 28097-7712
	(704) 403-6760
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore M Kelley
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	123 Professional Park Dr, Locust, North Carolina
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:

Theodore M Kelley attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007

NPI Data:

NPI Number: 1154520823
Provider Enumeration Date: 07/13/2007
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9335271139
Enrollment ID: I20100714000462

Medical Identifiers

Medical identifiers for Theodore M Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154520823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2009-00823 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospice Of Stanly County Inc	Albemarle, NC	Hospice
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Carolinas Medical Center-northeast	Concord, NC	Hospital
Stanly Regional Medical Center	Albemarle, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Physicians Network Inc	3375449655	1649

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. Theodore M Kelley allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Theodore M 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
Theodore M Kelley, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Theodore M Kelley, MD 123 Professional Park Dr, Locust, NC 28097-7712 Ph: (704) 403-6760

Reviews and Comments

Family Medicine Doctors in Locust, NC

Steven Edward Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Professional Park Dr, Locust, NC 28097 Phone: 704-403-6760
Joshua Randal Hall, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Professional Park Dr, Locust, NC 28097 Phone: 704-403-6760
Janna Kristen Featherstone, Family Medicine Medicare: Medicare Enrolled Practice Location: 236 Market St Ste 110, Locust, NC 28097 Phone: 704-384-9590 Fax: 704-384-9591
Raymond Ross Perez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 236 Market St Ste 110, Locust, NC 28097 Phone: 704-384-9590
Margaret Irene Trzebiatowski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Professional Park Dr, Locust, NC 28097 Phone: 704-403-6760
Dr. Ricardo Vargas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 236 Market St, Suite 110, Locust, NC 28097 Phone: 704-384-9590 Fax: 704-384-9591

Theodore M Kelley, MD - Medicare Family Practice in Locust, NC