Dr Benson J Kelly, MD - Medicare Family Practice in Akwesasne, NY

Dr Benson J Kelly, MD is a medicare enrolled "Family Medicine" physician in Akwesasne, New York. He went to Tufts University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Regis Mohawk Tribe and his current practice location is 412 State Route 37, Akwesasne, New York. You can reach out to his office (for appointments etc.) via phone at (518) 358-3141.

Dr Benson J Kelly is licensed to practice in New York (license number 167356) 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 1487614020.

Contact Information

Dr Benson J Kelly, MD
412 State Route 37,
Akwesasne, NY 13655-3109
(518) 358-3141
Not Available



Physician's Profile

Full NameDr Benson J Kelly
GenderMale
SpecialityFamily Practice
Experience41 Years
Location412 State Route 37, Akwesasne, New York
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:
  • Dr Benson J Kelly attended and graduated from Tufts University School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1487614020
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 02/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2264337658
  • Enrollment ID: I20111219000202

Medical Identifiers

Medical identifiers for Dr Benson J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487614020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 167356 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Regis Mohawk Tribe579974854710

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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. Dr Benson J Kelly allows following entities to bill medicare on his behalf.
Entity NameSt Regis Mohawk Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344558
PECOS PAC ID: 5799748547
Enrollment ID: O20041111000764

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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. Dr Benson J 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
Dr Benson J Kelly, MD
412 State Route 37,
Akwesasne, NY 13655-3109

Ph: (518) 358-3141
Dr Benson J Kelly, MD
412 State Route 37,
Akwesasne, NY 13655-3109

Ph: (518) 358-3141

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Family Medicine Doctors in Akwesasne, NY


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