Dr Greg Alan Kelley, DDS in Independence, KS - Medicare Dentist Provider

Dr Greg Alan Kelley, DDS is a medicare enrolled "Dentist - General Practice" provider in Independence, Kansas. His current practice location is 109 W Main St, Independence, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 331-3180.

Dr Greg Alan Kelley is licensed to practice in Kansas (license number 6381) 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 1629079470.

Contact Information

	Dr Greg Alan Kelley, DDS
	109 W Main St, Independence, KS 67301-3510
	(620) 331-3180
	(620) 331-3170

Healthcare Provider's Profile

Full Name	Dr Greg Alan Kelley
Gender	Male
Speciality	Dentist - General Practice
Location	109 W Main St, Independence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629079470
Provider Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688982853
Enrollment ID: I20151008000053

Medical Identifiers

Medical identifiers for Dr Greg Alan Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629079470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6381 (Kansas)	Primary

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 Greg Alan 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 Greg Alan Kelley, DDS 109 W Main St, Independence, KS 67301-3510 Ph: (620) 331-3180	Dr Greg Alan Kelley, DDS 109 W Main St, Independence, KS 67301-3510 Ph: (620) 331-3180

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Dentist in Independence, KS

Dr. Stewart L. Crow, D.D.S. P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 N Penn Ave, Independence, KS 67301 Phone: 620-331-4859 Fax: 620-331-4863
Devishkumar H Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2320 W Main St, Independence, KS 67301 Phone: 620-870-4691
Dr. Cynthia E Sherwood, Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 N 6th St, Independence, KS 67301 Phone: 620-331-4499 Fax: 620-331-4592
Dr. Jennifer Michele Beurskens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 N Penn Ave, Independence, KS 67301 Phone: 620-331-4859 Fax: 620-331-4863
Dr. Mary E Heckman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 422 E Main St, Independence, KS 67301 Phone: 620-331-3580 Fax: 620-331-3587
Porter James Clark, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 422 E Main St, Independence, KS 67301 Phone: 620-331-3580 Fax: 620-331-3587

Dr Greg Alan Kelley, DDS - Medicare Dentist in Independence, KS