Daniel H Kelly, MD - Medicare Student in an Organized Health Care Education/Training Program in Jackson, MS

Daniel H Kelly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5607.

Daniel H Kelly is licensed to practice in * (Not Available) (license number ) 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 1417480831.

Contact Information

Daniel H Kelly, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-5607
(601) 984-6665



Physician's Profile

Full NameDaniel H Kelly
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417480831
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 02/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163788647
  • Enrollment ID: I20230618000025

Medical Identifiers

Medical identifiers for Daniel H Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417480831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 27519 (Mississippi)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Daniel H Kelly allows following entities to bill medicare on his behalf.
Entity NameMedical Foundation Of Central Mississippi Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992774814
PECOS PAC ID: 1153216411
Enrollment ID: O20040217000380

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Entity NameMississippi Baptist Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467589556
PECOS PAC ID: 9234026600
Enrollment ID: O20110707000181

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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. Daniel H Kelly 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
Daniel H Kelly, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5607
Daniel H Kelly, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5607

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EUSA Pharma, a transatlantic specialty pharmaceutical company focused on oncology, oncology supportive care and critical care, today announced that its Biologics License Application for ERWINAZE(R) has been accepted for filing and awarded Priority Review status by the U.S. Food and Drug Administration.

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First Edition: June 23, 2014

Today's early morning highlights from the major news organizations, including news stories about healthcare.gov management changes.

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› Verified 4 days ago



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