Thomas Kelly, MD in Wauwatosa, WI - Medicare Internal Medicine

Thomas Kelly, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Wauwatosa, Wisconsin. His current practice location is 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 771-8228.

Thomas Kelly is licensed to practice in Wisconsin (license number 31137) 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 1093823130.

Contact Information

	Thomas Kelly, MD
	201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226
	(414) 771-8228
	(414) 256-2483

Map and Direction

Physician's Profile

Full Name	Thomas Kelly
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	201 Nth Mayfair Rd, Wauwatosa, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093823130
Provider Enumeration Date: 08/28/2006
Last Update Date: 09/22/2008

Medicare PECOS Information:

PECOS PAC ID: 6709928229
Enrollment ID: I20100122000004

Medical Identifiers

Medical identifiers for Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093823130	NPI	-	NPPES
31597200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	31137 (Wisconsin)	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. Thomas Kelly allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

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. 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
Thomas Kelly, MD 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 Ph: (414) 771-8228	Thomas Kelly, MD 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 Ph: (414) 771-8228

Reviews and Comments

Internal Medicine Doctors in Wauwatosa, WI

Geetha Ganesan, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336
Haroon Zubair, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336
David A. Carron, MD Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971
Dr. Kavita Sharma, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Phone: 414-615-5900 Fax: 414-615-5927
Robert Michael Molloy, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971
Ankur N Patel, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336
Dr. James T Kwiatt, M.D. Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0500 Fax: 414-454-0971

Thomas Kelly, MD - Medicare Internal Medicine in Wauwatosa, WI