Theresa Kelly, PA - Medicare Physician Assistant in Sterling Hts, MI

Theresa Kelly, PA is a medicare enrolled "Physician Assistant" in Sterling Hts, Michigan. Her current practice location is 43200 Dequindre Rd, Ste104, Sterling Hts, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 799-4350.

Theresa Kelly is licensed to practice in Michigan (license number 5601006213) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679844104.

Contact Information

Theresa Kelly, PA
43200 Dequindre Rd, Ste104,
Sterling Hts, MI 48314-1707
(586) 799-4350
(586) 799-4279

Map and Direction




Provider's Profile

Full NameTheresa Kelly
GenderFemale
SpecialityPhysician Assistant
Location43200 Dequindre Rd, Sterling Hts, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679844104
  • Provider Enumeration Date: 01/13/2012
  • Last Update Date: 12/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062672900
  • Enrollment ID: I20120329000618

Medical Identifiers

Medical identifiers for Theresa Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679844104NPI-NPPES
5601006213OtherMISTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601006213 (Michigan)Primary

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. Theresa 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 AddressPractice Location Address
Theresa Kelly, PA
49540 Nautical Dr,
Chesterfield, MI 48047-2334

Ph: (248) 767-8456
Theresa Kelly, PA
43200 Dequindre Rd, Ste104,
Sterling Hts, MI 48314-1707

Ph: (586) 799-4350

Reviews and Comments


Physician Assistant Nurses in Sterling Hts, MI

Jennifer L Schaeff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 39242 Dequindre Rd, Suite 105, Sterling Hts, MI 48310
Phone: 586-979-1750    Fax: 586-979-4667
Ms. Kelley Bridget Thomas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 38731 Mound Rd, Sterling Hts, MI 48310
Phone: 586-939-8480    
Megan Hryckowian-mazur,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 37450 Dequindre Rd, Sterling Hts, MI 48310
Phone: 586-979-5100    
Jillian Monticciolo, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2405 E 14 Mile Rd, Sterling Hts, MI 48310
Phone: 586-264-1800    Fax: 586-264-1155

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.