Kathleen Kelley, MD - Medicare Dermatology in Granger, IN

Kathleen Kelley, MD is a medicare enrolled "Dermatology" physician in Granger, Indiana. She went to Indiana University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 6913 N Main St, Ste 100, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-3376.

Kathleen Kelley is licensed to practice in Indiana (license number 01082520A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245626225.

Contact Information

Kathleen Kelley, MD
6913 N Main St, Ste 100,
Granger, IN 46530-8039
(574) 647-3376
(574) 647-2951



Physician's Profile

Full NameKathleen Kelley
GenderFemale
SpecialityDermatology
Experience9 Years
Location6913 N Main St, Granger, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Kelley attended and graduated from Indiana University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1245626225
  • Provider Enumeration Date: 04/07/2015
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062722861
  • Enrollment ID: I20190919003064

Medical Identifiers

Medical identifiers for Kathleen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245626225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 01082520A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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. Kathleen Kelley allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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. Kathleen 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
Kathleen Kelley, MD
3245 Health Drive, Suite 100,
Granger, IN 46530-3245

Ph: (574) 647-1840
Kathleen Kelley, MD
6913 N Main St, Ste 100,
Granger, IN 46530-8039

Ph: (574) 647-3376

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Dermatology Doctors in Granger, IN


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