Ian Christopher Kelley, - Medicare Physical Therapist in Vicksburg, MI

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Ian Christopher Kelley, is a medicare enrolled "Physical Therapist" provider in Vicksburg, Michigan. His current practice location is 13329 Portage Rd, Vicksburg, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 649-2400.

Ian Christopher Kelley is licensed to practice in Michigan (license number 5501302420) 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 1821701194.

Contact Information

Ian Christopher Kelley,
13329 Portage Rd,
Vicksburg, MI 49097-9496
(269) 649-2400
(269) 649-0548

Map and Direction




Healthcare Provider's Profile

Full NameIan Christopher Kelley
GenderMale
SpecialityPhysical Therapist
Location13329 Portage Rd, Vicksburg, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821701194
  • Provider Enumeration Date: 01/03/2023
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810367687
  • Enrollment ID: I20230112001626

Medical Identifiers

Medical identifiers for Ian Christopher Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821701194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501302420 (Michigan)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. Ian Christopher Kelley allows following entities to bill medicare on his behalf.
Provider NameIvyrehab Michigan Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1104337120
PECOS PAC ID: 6901165893
Enrollment ID: O20180123001245

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. Ian Christopher 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
Ian Christopher Kelley,
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224

Ph: () -		Ian Christopher Kelley,
13329 Portage Rd,
Vicksburg, MI 49097-9496

Ph: (269) 649-2400

Reviews and Comments


Physical Therapist in Vicksburg, MI

Maegan Claray Ackerman-millikan, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 13329 Portage Rd, Vicksburg, MI 49097
Phone: 269-649-2400    Fax: 269-649-0548

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.