Derek Kelton, - Medicare Physical Therapist in Springfield, IL

Derek Kelton, is a medicare enrolled "Physical Therapist" provider in Springfield, Illinois. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Blue Ridge Physical Therapy, Inc and his current practice location is 2325 W Monroe St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 547-2497.

Derek Kelton is licensed to practice in Illinois (license number 070028643) 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 1386138444.

Contact Information

Derek Kelton,
2325 W Monroe St,
Springfield, IL 62704-1452
(217) 547-2497
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDerek Kelton
GenderMale
SpecialityPhysical Therapy
Experience6 Years
Location2325 W Monroe St, Springfield, Illinois
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:
  • Derek Kelton graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1386138444
  • Provider Enumeration Date: 06/21/2018
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234485145
  • Enrollment ID: I20180709000290

Medical Identifiers

Medical identifiers for Derek Kelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386138444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225100000XPhysical Therapist 070028643 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Physical Therapy, Inc63059162636

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. Derek Kelton allows following entities to bill medicare on his behalf.
Provider NameBlue Ridge Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477596500
PECOS PAC ID: 6305916263
Enrollment ID: O20080604000059
Provider NameArc Physical Therapy Plus Lp
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1851715353
PECOS PAC ID: 6204050453
Enrollment ID: O20140613000583

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. Derek Kelton 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
Derek Kelton,
Po Box 19248,
Springfield, IL 62794-9248

Ph: () -
Derek Kelton,
2325 W Monroe St,
Springfield, IL 62704-1452

Ph: (217) 547-2497

Reviews and Comments


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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.

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