Kelly R Mcdonough, PT is a medicare enrolled "Physical Therapist" provider in Buckley, Michigan. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Mary Free Bed Rehabilitation Hospital and her current practice location is
11293 N M 37 Ste B, Buckley, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 269-3500.
Kelly R Mcdonough is licensed to practice in Michigan (license number 5501012567) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336365279.
Healthcare Provider's Profile
Full Name | Kelly R Mcdonough |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 19 Years |
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Location | 11293 N M 37 Ste B, Buckley, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly R Mcdonough graduated from medical school in 2005
NPI Data:
- NPI Number: 1336365279
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 06/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 6305903808
- Enrollment ID: I20090327000467
Medical Identifiers
Medical identifiers for Kelly R Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336365279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5501012567 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mary Free Bed Rehabilitation Hospital | 4587576541 | 107 |
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. Kelly R Mcdonough allows following entities to bill medicare on her behalf.
Provider Name | Mary Free Bed Rehabilitation Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
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Provider Name | Dynamic Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1609874288 PECOS PAC ID: 8628986643 Enrollment ID: O20061025000725 |
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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. Kelly R Mcdonough 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 |
Kelly R Mcdonough, PT 4153 Bridlewood Dr, Traverse City, MI 49684-9618 Ph: (231) 723-5479 | Kelly R Mcdonough, PT 11293 N M 37 Ste B, Buckley, MI 49620-9593 Ph: (231) 269-3500 |
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