Dr Scott W Kelley, MD - Medicare Pathology in Brookfield, WI

Dr Scott W Kelley, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Brookfield, Wisconsin. His current practice location is 12805 W Burleigh Rd, Suite 200, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 797-6434.

Dr Scott W Kelley is licensed to practice in Wisconsin (license number 36968) 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 1700863685.

Contact Information

Dr Scott W Kelley, MD
12805 W Burleigh Rd, Suite 200,
Brookfield, WI 53005-3111
(262) 797-6434
(262) 797-6429



Physician's Profile

Full NameDr Scott W Kelley
GenderMale
SpecialityPathology - Dermatopathology
Location12805 W Burleigh Rd, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700863685
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 05/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608784723
  • Enrollment ID: I20051115000499

Medical Identifiers

Medical identifiers for Dr Scott W Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700863685NPI-NPPES
32649200MedicaidWI
0540955MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology 36968 (Wisconsin)Primary
207ZP0101XPathology - Anatomic Pathology 36968 (Wisconsin)Secondary

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 Scott W Kelley allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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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 Scott W 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 AddressPractice Location Address
Dr Scott W Kelley, MD
14275 Midway Rd, Suite 400,
Addison, TX 75001-3614

Ph: (214) 932-8029
Dr Scott W Kelley, MD
12805 W Burleigh Rd, Suite 200,
Brookfield, WI 53005-3111

Ph: (262) 797-6434

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Pathology Doctors in Brookfield, WI

Dr. Kevin Brian Edwards, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 19525 Janacek Ct Ste 103, Brookfield, WI 53045
Phone: 262-957-1967    Fax: 414-784-0188

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