Kevin J Kelly, MD - Medicare Internal Medicine in Fort Wayne, IN

Kevin J Kelly, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fort Wayne, Indiana. His current practice location is 11108 Parkview Circle Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-5700.

Kevin J Kelly is licensed to practice in Indiana (license number 01032406A) 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 1982606315.

Contact Information

Kevin J Kelly, MD
11108 Parkview Circle Dr,
Fort Wayne, IN 46845-1730
(260) 266-5700
(260) 266-5920



Physician's Profile

Full NameKevin J Kelly
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location11108 Parkview Circle Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982606315
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 11/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2860582061
  • Enrollment ID: I20090302000459

Medical Identifiers

Medical identifiers for Kevin J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982606315NPI-NPPES
060071114OtherOHRR MEDICARE
06199OtherOHMEDICAID OHIO PARAMONT
P00786817OtherINR.R. MEDICARE
P00846125OtherOHMEDICARE RAILROAD
000000641087OtherINANTHEM
100360760MedicaidIN
0522401MedicaidOH
060070567OtherINRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 01032406A (Indiana)Primary

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. Kevin J Kelly allows following entities to bill medicare on his behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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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. Kevin 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
Kevin J Kelly, MD
3926 New Vision Dr, Suite 1,
Fort Wayne, IN 46845-1712

Ph: (260) 373-9705
Kevin J Kelly, MD
11108 Parkview Circle Dr,
Fort Wayne, IN 46845-1730

Ph: (260) 266-5700

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Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-5700    Fax: 260-266-5910
Ahmad Alhariri, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-2020    
Dr. Anuradha G Bommakanti, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-435-7001    
Eileen Jill Ramos Muzzillo, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815
Phone: 260-425-5600    Fax: 260-425-5605
John T Ducker, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804
Phone: 260-494-3484    Fax: 260-969-0188
Mr. Kenneth A Smith, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825
Phone: 260-489-1666    Fax: 260-489-3255
Dr. Carl Marc Williams, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 260-373-9700    Fax: 260-373-9740

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