Mr Owen L Kelly, MD - Medicare Orthopedic Surgery in Russellville, AR

Mr Owen L Kelly, MD is a medicare enrolled "Orthopaedic Surgery" physician in Russellville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice St Marys Physician Services Llc and his current practice location is 401 N Phoenix Ave, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 890-5355.

Mr Owen L Kelly is licensed to practice in Arkansas (license number E3477) 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 1962461707.

Contact Information

Mr Owen L Kelly, MD
401 N Phoenix Ave,
Russellville, AR 72801-2844
(479) 890-5355
(479) 890-5366



Physician's Profile

Full NameMr Owen L Kelly
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location401 N Phoenix Ave, Russellville, Arkansas
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:
  • Mr Owen L Kelly attended and graduated from University Of Arkansas College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1962461707
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092801472
  • Enrollment ID: I20080618000168

Medical Identifiers

Medical identifiers for Mr Owen L Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962461707NPI-NPPES
182582002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery E3477 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Regional Medical CenterRussellville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Physician Services Llc498169803260

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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. Mr Owen L Kelly allows following entities to bill medicare on his behalf.
Entity NameSt Marys Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759

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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. Mr Owen L 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
Mr Owen L Kelly, MD
Po Box 690,
Russellville, AR 72811-1146

Ph: (479) 890-5355
Mr Owen L Kelly, MD
401 N Phoenix Ave,
Russellville, AR 72801-2844

Ph: (479) 890-5355

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Orthopaedic Surgery Doctors in Russellville, AR

Dr. Mark Edward Buchanan, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2497
Jefferson Cartwright, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2497
Dr. Ted Honghiran, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2504 West Main St, Suite A, Russellville, AR 72801
Phone: 479-968-3200    
W Bruce Brown, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3016 W Main St, Russellville, AR 72801
Phone: 479-890-2663    Fax: 479-880-2663

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