Dr Michael Ryan Kelley, OD in Merrillville, IN - Medicare Optometrist Provider

Dr Michael Ryan Kelley, OD is a medicare enrolled "Optometrist" provider in Merrillville, Indiana. His current practice location is 2936 E 79th Ave, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 947-1052.

Dr Michael Ryan Kelley is licensed to practice in Indiana (license number 18003293A) 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 1558324368.

Contact Information

	Dr Michael Ryan Kelley, OD
	2936 E 79th Ave, Merrillville, IN 46410-5748
	(219) 947-1052
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Ryan Kelley
Gender	Male
Speciality	Optometrist
Location	2936 E 79th Ave, Merrillville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558324368
Provider Enumeration Date: 04/11/2006
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 1759610983
Enrollment ID: I20190912001921

Medical Identifiers

Medical identifiers for Dr Michael Ryan Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558324368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003293A (Indiana)	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. Dr Michael Ryan Kelley allows following entities to bill medicare on his behalf.

Provider Name	First Impressions Optometric Associates, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083366363 PECOS PAC ID: 6800281825 Enrollment ID: O20220309002226

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. Dr Michael Ryan 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 Address	Practice Location Address
Dr Michael Ryan Kelley, OD 324 S Boo Rd, Apt 101, Burns Harbor, IN 46304-0040 Ph: (219) 508-4728	Dr Michael Ryan Kelley, OD 2936 E 79th Ave, Merrillville, IN 46410-5748 Ph: (219) 947-1052

Reviews and Comments

Optometrist in Merrillville, IN

Moses Eyecare Centers Optometrist Medicare: Medicare Enrolled Practice Location: 70 E 68th Pl, Merrillville, IN 46410 Phone: 219-736-2020 Fax: 219-769-3884
Dr. Lisa Jennifer Saks-knestrict, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8510 Broadway, Merrillville, IN 46410 Phone: 219-736-2200 Fax: 219-736-2222
Dr. Dennis Jahovic & Associates,p.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2621 E 80th Ave, Merrillville, IN 46410 Phone: 219-942-6979 Fax: 219-942-5125
Deen-gross Eye Centers Optometrist Medicare: Medicare Enrolled Practice Location: 303 W 89th Ave, Suite E4, Merrillville, IN 46410 Phone: 219-769-8989 Fax: 219-756-6389
Dr. Calvin Butler Yates, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 141 E 61st Ave, Merrillville, IN 46410 Phone: 219-981-8890
Sylvia Rebecca Mishoulam, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1310 E 79th Ave, Merrillville, IN 46410 Phone: 219-641-6406
Jamie Taffora, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 303 W 89th Ave, Merrillville, IN 46410 Phone: 219-769-8989 Fax: 219-756-0560

Dr Michael Ryan Kelley, OD - Medicare Optometrist in Merrillville, IN