Brendan S Kelly, OD in Fargo, ND - Medicare Optometry Provider

Brendan S Kelly, OD is a medicare enrolled "Optometrist" provider in Fargo, North Dakota. He went to Pacific University - College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 1717 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 461-5100.

Brendan S Kelly is licensed to practice in North Dakota (license number 666) 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 1689873275.

Contact Information

	Brendan S Kelly, OD
	1717 University Dr S, Fargo, ND 58103-4939
	(701) 461-5100
	(701) 461-5124

Map and Direction

Healthcare Provider's Profile

Full Name	Brendan S Kelly
Gender	Male
Speciality	Optometry
Experience	17 Years
Location	1717 University Dr S, Fargo, North Dakota
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:

Brendan S Kelly attended and graduated from Pacific University - College Of Optometry in 2007

NPI Data:

NPI Number: 1689873275
Provider Enumeration Date: 07/13/2007
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3870687148
Enrollment ID: I20081020000217

Medical Identifiers

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

Identifier	Type	State	Issuer
1689873275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2604 (Colorado)	Secondary
152W00000X	Optometrist	666 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Brendan S Kelly allows following entities to bill medicare on his behalf.

Provider Name	Sanford Clinic North
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Provider Name	Sanford Medical Center Fargo
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Brendan S 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
Brendan S Kelly, OD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Brendan S Kelly, OD 1717 University Dr S, Fargo, ND 58103-4939 Ph: (701) 461-5100

Reviews and Comments

Optometrist in Fargo, ND

Vivid Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3265 45th St S Ste 104, Fargo, ND 58104 Phone: 701-741-2951
Barbra Brigitte Brookshire, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3902 13th Ave S, Fargo, ND 58103 Phone: 701-282-5880 Fax: 701-282-8414
Todd L Metzger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906
Andrew Viet Pham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1801 45th St S, Fargo, ND 58103 Phone: 701-492-3937
Blaine G Zieman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3672
Daniel John Levin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 19th Ave N Ste L&m, Fargo, ND 58102 Phone: 701-365-1150
Dr. Matthew T Sanders, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4344 20th Ave S, # 1, Fargo, ND 58103 Phone: 701-293-8242

Brendan S Kelly, OD - Medicare Optometrist in Fargo, ND