Kelly Family Medicine - Medicare Primary Care in Oklahoma City, OK

Kelly Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Oklahoma City, Oklahoma. The current practice location for Kelly Family Medicine is 13921 N Meridian Ave Ste 100, Oklahoma City, Oklahoma. For appointments, you can reach them via phone at (405) 752-9600. The mailing address for Kelly Family Medicine is Po Box 268938, Oklahoma City, Oklahoma and phone number is (405) 752-9600.

Kelly Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467495226. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (405) 752-9600.

Contact Information

Kelly Family Medicine
13921 N Meridian Ave Ste 100
Oklahoma City
OK 73134-1106
(405) 752-9600
(405) 752-9650

Map and Direction


Primary Care Clinic Profile

Full NameKelly Family Medicine
SpecialityFamily Medicine
Location13921 N Meridian Ave Ste 100, Oklahoma City, Oklahoma
Authorized Official Name and PositionStephen Blake Kelly (DOCTOR)
Authorized Official Contact4057529600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Family Medicine
Po Box 268938
Oklahoma City
OK 73126-8938

Ph: (405) 752-9600
Kelly Family Medicine
13921 N Meridian Ave Ste 100
Oklahoma City
OK 73134-1106

Ph: (405) 752-9600

NPI Details:

NPI Number1467495226
Provider Enumeration Date06/13/2006
Last Update Date10/31/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3173535515
Medicare Enrollment IDO20060629000008

Medical Identifiers

Medical identifiers for Kelly Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467495226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kelly Family Medicine acts as a billing entity for following providers:
Provider NameJeri L Hargrave
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346240199
PECOS PAC ID: 6507848116
Enrollment ID: I20040607000104
Provider NameStephen B Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134167455
PECOS PAC ID: 3476543794
Enrollment ID: I20040710000376
Provider NameStacy A Weible-torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891005823
PECOS PAC ID: 8426358789
Enrollment ID: I20151118002892
Provider NameMatthew C Munda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114300316
PECOS PAC ID: 1052611175
Enrollment ID: I20151123000116
Provider NameKarie L Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184893000
PECOS PAC ID: 1850696634
Enrollment ID: I20160224001342
Provider NameJennifer Marie Holeman
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376804781
PECOS PAC ID: 2567753353
Enrollment ID: I20160627000566

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.

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.