Michael Timothy Kelley, MS PA-C - Medicare Physician Assistant in Tempe, AZ

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Michael Timothy Kelley, MS PA-C is a medicare enrolled "Physician Assistant - Surgical" in Tempe, Arizona. He graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Smi Imaging Llc, I Am Wellness Az Llc, Progressive Pain Management Inc, Hope Diabetes Center Llc, Arizona Bone Joint And Sports Medicine Center and his current practice location is 6625 S Rural Rd Ste 104, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 833-4515.

Michael Timothy Kelley is licensed to practice in Arizona (license number AZ3829) 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 1073571816.

Contact Information

Michael Timothy Kelley, MS PA-C
6625 S Rural Rd Ste 104,
Tempe, AZ 85283-3717
(480) 833-4515
(480) 833-5078

Map and Direction




Provider's Profile

Full NameMichael Timothy Kelley
GenderMale
SpecialityPhysician Assistant
Experience31 Years
Location6625 S Rural Rd Ste 104, Tempe, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Timothy Kelley graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1073571816
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 08/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527183342
  • Enrollment ID: I20100916001388

Medical Identifiers

Medical identifiers for Michael Timothy Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073571816NPI-NPPES
585950MedicaidAZ
AZ3829OtherAZARIZONA STATE LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical AZ3829 (Arizona)Primary
363AS0400XPhysician Assistant - Surgical (NU)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220380
I Am Wellness Az Llc812349734435
Progressive Pain Management Inc115349072732
Hope Diabetes Center Llc418362048723
Arizona Bone Joint And Sports Medicine Center81234966683

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. Michael Timothy Kelley allows following entities to bill medicare on his behalf.
Entity NameAll Star Health PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245272426
PECOS PAC ID: 9830139617
Enrollment ID: O20050511000476
Entity NameMichael F Esber DPM PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902907504
PECOS PAC ID: 7810905759
Enrollment ID: O20060404000112
Entity NameProgressive Pain Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881866754
PECOS PAC ID: 1153490727
Enrollment ID: O20080522000123
Entity NameAdvanced Minimally Invasive Surgical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295056919
PECOS PAC ID: 4183758527
Enrollment ID: O20100819001272
Entity NameMaria Gonzalez Berlari MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699025981
PECOS PAC ID: 2769625854
Enrollment ID: O20130820001092
Entity NameHope Diabetes Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104865757
PECOS PAC ID: 4183620487
Enrollment ID: O20170719003937
Entity NameSmi Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameModern Sports Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285295089
PECOS PAC ID: 6800228479
Enrollment ID: O20191120000879
Entity NameFlagstaff Pain and Treatment Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073127858
PECOS PAC ID: 0749691038
Enrollment ID: O20210106002674
Entity NameArizona Bone Joint and Sports Medicine Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255054110
PECOS PAC ID: 8123496668
Enrollment ID: O20221115000893
Entity NameI Am Wellness Az LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184354532
PECOS PAC ID: 8123497344
Enrollment ID: O20221211000016

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. Michael Timothy 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 AddressPractice Location Address
Michael Timothy Kelley, MS PA-C
2532 E Mercer Ln,
Phoenix, AZ 85028-2530

Ph: (602) 799-3181		Michael Timothy Kelley, MS PA-C
6625 S Rural Rd Ste 104,
Tempe, AZ 85283-3717

Ph: (480) 833-4515

Reviews and Comments


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Brent L Madsen, PA-C
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Leroy Parker Iv, PA
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Practice Location: 2145 E Baseline Rd Ste 101, Tempe, AZ 85283
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.