Susan C Kelly, DO - Medicare Dermatology in North Kingstown, RI

Susan C Kelly, DO is a medicare enrolled "Dermatology - Dermatopathology" physician in North Kingstown, Rhode Island. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. Her current practice location is 7 Weaver Rd, North Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 667-0905.

Susan C Kelly is licensed to practice in Rhode Island (license number DO00604) 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 1548200074.

Contact Information

Susan C Kelly, DO
7 Weaver Rd,
North Kingstown, RI 02852-7135
(401) 667-0905
(401) 667-0590



Physician's Profile

Full NameSusan C Kelly
GenderFemale
SpecialityDermatology
Experience25 Years
Location7 Weaver Rd, North Kingstown, Rhode Island
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:
  • Susan C Kelly graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1548200074
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 07/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7315967494
  • Enrollment ID: I20080605000263

Medical Identifiers

Medical identifiers for Susan C Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548200074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology DO00604 (Rhode Island)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. Susan C Kelly allows following entities to bill medicare on her behalf.
Entity NameSue Kelly Dermatology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851573760
PECOS PAC ID: 2567532344
Enrollment ID: O20080605000331

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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. Susan C 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
Susan C Kelly, DO
7 Weaver Rd,
North Kingstown, RI 02852-7135

Ph: (401) 667-0905
Susan C Kelly, DO
7 Weaver Rd,
North Kingstown, RI 02852-7135

Ph: (401) 667-0905

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Dermatology Doctors in North Kingstown, RI


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