Kelly Jean Duffy, MD in Advance, NC - Medicare Pediatrics

Kelly Jean Duffy, MD is a medicare enrolled "Pediatrics" physician in Advance, North Carolina. Her current practice location is 114 Kinderton Blvd, Advance, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 998-9742.

Kelly Jean Duffy is licensed to practice in North Carolina (license number 2014-00111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801187059.

Contact Information

	Kelly Jean Duffy, MD
	114 Kinderton Blvd, Advance, NC 27006-7302
	(336) 998-9742
	(336) 998-9410

Physician's Profile

Full Name	Kelly Jean Duffy
Gender	Female
Speciality	Pediatrics
Location	114 Kinderton Blvd, Advance, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801187059
Provider Enumeration Date: 04/22/2011
Last Update Date: 07/30/2014

Medicare PECOS Information:

PECOS PAC ID: 9032531181
Enrollment ID: I20200619000193

Medical Identifiers

Medical identifiers for Kelly Jean Duffy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801187059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2014-00111 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	172764 (North Carolina)	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. Kelly Jean Duffy allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

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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. Kelly Jean Duffy 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 Address	Practice Location Address
Kelly Jean Duffy, MD 1701 Westchester Dr, Ste 850, High Point, NC 27262-7008 Ph: (336) 802-2400	Kelly Jean Duffy, MD 114 Kinderton Blvd, Advance, NC 27006-7302 Ph: (336) 998-9742

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Pediatrics Doctors in Advance, NC

Dr. Susan Yurgel Hunsinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410
John H Myracle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410
Dr. Kathy Lynn Gross, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410

Kelly Jean Duffy, MD - Medicare Pediatrics in Advance, NC

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Biotage to acquire extraction, evaporation product lines for Sample Preparation from Caliper Life Sciences

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Pediatrics Doctors in Advance, NC