Dr Timothy J Kelly, MD - Medicare Otolaryngology in Rock Hill, SC

Dr Timothy J Kelly, MD is a medicare enrolled "Otolaryngology" physician in Rock Hill, South Carolina. He went to University Of Michigan Medical School and graduated in 1987 and has 37 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Charlotte Eye Ear Nose And Throat Associates Pa, Charlotte Eye Ear Nose And Throat Associates Pa and his current practice location is 200 S Herlong Ave, Suite A, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 328-1864.

Dr Timothy J Kelly is licensed to practice in South Carolina (license number 30274) 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 1689731085.

Contact Information

Dr Timothy J Kelly, MD
200 S Herlong Ave, Suite A,
Rock Hill, SC 29732-3399
(803) 328-1864
(803) 328-1865



Physician's Profile

Full NameDr Timothy J Kelly
GenderMale
SpecialityOtolaryngology
Experience37 Years
Location200 S Herlong Ave, Rock Hill, South Carolina
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 Timothy J Kelly attended and graduated from University Of Michigan Medical School in 1987
  NPI Data:
  • NPI Number: 1689731085
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416991005
  • Enrollment ID: I20071008000298

Medical Identifiers

Medical identifiers for Dr Timothy J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689731085NPI-NPPES
1506232OtherCOVENTRY
302746MedicaidSC
AA21828218OtherSCMEDICARE
P01505878OtherSCRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 30274 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Medical CenterRock hill, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charlotte Eye Ear Nose And Throat Associates Pa0446155451148
Charlotte Eye Ear Nose And Throat Associates Pa0446155451148

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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 Timothy J Kelly allows following entities to bill medicare on his behalf.
Entity NameCharlotte Eye Ear Nose & Throat Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043287469
PECOS PAC ID: 0446155451
Enrollment ID: O20040519000318

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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 Timothy 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 Timothy J Kelly, MD
6035 Fairview Rd,
Charlotte, NC 28210-3256

Ph: (704) 295-3000
Dr Timothy J Kelly, MD
200 S Herlong Ave, Suite A,
Rock Hill, SC 29732-3399

Ph: (803) 328-1864

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Otolaryngology Doctors in Rock Hill, SC

Dr. Chad S Kessler, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Herlong Ave, Suite A, Rock Hill, SC 29732
Phone: 803-328-1864    Fax: 803-328-1865
Neela Rao, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Herlong Ave Ste A, Rock Hill, SC 29732
Phone: 803-328-1864    
Dr. Gregory Stokes Parsons, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Herlong Ave Ste A, Rock Hill, SC 29732
Phone: 803-328-1864    Fax: 803-328-1865
Dr. Mark Jeffrey Abrams, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Herlong Ave, Suite A, Rock Hill, SC 29732
Phone: 803-328-1864    Fax: 803-328-1865
Brian Claud Wilson, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 197 S Herlong Ave, Rock Hill, SC 29732
Phone: 803-366-9000    Fax: 803-366-9200

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