Shannon Mcclure Kelly, MD - Medicare Orthopaedic Surgery in Washington, DC

Shannon Mcclure Kelly, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Washington, District Of Columbia. Her current practice location is 111 Michigan Ave Nw, Orthopaedic Surgery, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 476-4063.

Shannon Mcclure Kelly is licensed to practice in District Of Columbia (license number MD034912) 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 1053491787.

Contact Information

Shannon Mcclure Kelly, MD
111 Michigan Ave Nw, Orthopaedic Surgery,
Washington, DC 20010-2978
(202) 476-4063
(202) 476-4613



Physician's Profile

Full NameShannon Mcclure Kelly
GenderFemale
SpecialityOrthopaedic Surgery - Pediatric Orthopaedic Surgery
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053491787
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 03/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0648213108
  • Enrollment ID: I20050606000719

Medical Identifiers

Medical identifiers for Shannon Mcclure Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053491787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery MD034912 (District Of Columbia)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. Shannon Mcclure Kelly allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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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. Shannon Mcclure 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
Shannon Mcclure Kelly, MD
111 Michigan Ave Nw,
Washington, DC 20010-2978

Ph: (202) 476-4063
Shannon Mcclure Kelly, MD
111 Michigan Ave Nw, Orthopaedic Surgery,
Washington, DC 20010-2978

Ph: (202) 476-4063

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Orthopaedic Surgery Doctors in Washington, DC

Fred Mo, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Reservoir Rd Nw, Washington, DC 20007
Phone: 202-444-8766    Fax: 202-444-1655
Dr. Panagiotis A Labropoulos, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Pennsylvania Ave Nw, 7th Floor, Washington, DC 20037
Phone: 202-741-3305    Fax: 202-741-3313
Dr. Harvey M. Cohen, M. D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: Walter Reed Army Medical Ctr, Washington, DC 20307
Phone: 202-782-0292    Fax: 202-782-6845
Olivia Mae Larussa, PA-C
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 900 23rd St Nw, Washington, DC 20037
Phone: 202-741-3000    
Dr. Craig Robert Faulks, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3 Washington Cir Nw, Suite 404, Washington, DC 20037
Phone: 202-333-2820    Fax: 202-833-1410
Dr. Melinda Miller Gardner, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3301 New Mexico Ave Nw, Ste 248, Washington, DC 20016
Phone: 202-244-0706    Fax: 202-686-6278

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