John L Kelly Iv, CRNA in Houston, TX - Medicare Nurse Anesthetist, Certified Registered

John L Kelly Iv, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Houston, Texas. His current practice location is 2411 Fountain View Dr, Suite 200, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 620-4000.

John L Kelly Iv is licensed to practice in Texas (license number 173219) 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 1467476259.

Contact Information

	John L Kelly Iv, CRNA
	2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817
	(713) 620-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	John L Kelly Iv
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2411 Fountain View Dr, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467476259
Provider Enumeration Date: 07/26/2006
Last Update Date: 03/27/2014

Medicare PECOS Information:

PECOS PAC ID: 8224082201
Enrollment ID: I20050311000827

Medical Identifiers

Medical identifiers for John L Kelly Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467476259	NPI	-	NPPES
8104UU	Other	TX	BLUE CROSS BLUE SHIELD
202817701	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	173219 (Texas)	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. John L Kelly Iv allows following entities to bill medicare on his behalf.

Entity Name	Carolina Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938

Entity Name	Carolina Regional Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406

Entity Name	Coastal Carolina Sedation Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114544996 PECOS PAC ID: 2961829825 Enrollment ID: O20200824003565

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. John L Kelly Iv 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
John L Kelly Iv, CRNA 2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817 Ph: (713) 620-4000	John L Kelly Iv, CRNA 2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817 Ph: (713) 620-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Houston, TX

Editha A Flemming, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000
Danielle Therese George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229
Ryann Hattori, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000
Rodrique Dewyane Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229
Pedro Napoles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042 Phone: 972-715-5000 Fax: 972-715-9976
Alyssa Estill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000
Thomas Kyle Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693

John L Kelly Iv, CRNA - Medicare Nurse Anesthetist, Certified Registered in Houston, TX