Derek M Kelly, MD - Medicare Orthopedic Surgery in Collierville, TN

Derek M Kelly, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Collierville, Tennessee. He went to University Of Arkansas College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and his current practice location is 1458 W Poplar Ave, Suite 100, Collierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 759-3100.

Derek M Kelly is licensed to practice in Tennessee (license number 43223) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649499971.

Contact Information

Derek M Kelly, MD
1458 W Poplar Ave, Suite 100,
Collierville, TN 38017-0630
(901) 759-3100
(901) 759-3196



Physician's Profile

Full NameDerek M Kelly
GenderMale
SpecialityOrthopedic Surgery
Experience22 Years
Location1458 W Poplar Ave, Collierville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek M Kelly attended and graduated from University Of Arkansas College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1649499971
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 10/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143394478
  • Enrollment ID: I20080805000673

Medical Identifiers

Medical identifiers for Derek M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649499971NPI-NPPES
174871001MedicaidAR
100169565MedicaidMS
008850343MedicaidMS
1508536MedicaidTN
04951036MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 43223 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell Clinic Pc9638082076139
Campbell Clinic Pc9638082076139

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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. Derek M Kelly allows following entities to bill medicare on his behalf.
Entity NameCampbell Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003835141
PECOS PAC ID: 9638082076
Enrollment ID: O20040615000216

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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. Derek M 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
Derek M Kelly, MD
1400 S Germantown Rd,
Germantown, TN 38138-2205

Ph: (901) 759-3100
Derek M Kelly, MD
1458 W Poplar Ave, Suite 100,
Collierville, TN 38017-0630

Ph: (901) 759-3100

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Orthopaedic Surgery Doctors in Collierville, TN

Dr. Robert T Bobo, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 511 Market Blvd Ste 103, Collierville, TN 38017
Phone: 901-850-1150    
Dr. Tyler James Brolin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1458 W Poplar Ave Ste 100, Collierville, TN 38017
Phone: 901-759-3100    Fax: 901-759-3196
Jeffrey A Dlabach, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 99 Market Center Dr, Collierville, TN 38017
Phone: 901-861-9610    Fax: 901-861-9611

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