Carolyn Kelly, DPM - Medicare Podiatrist in Bolingbrook, IL

Carolyn Kelly, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Bolingbrook, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Cook County and her current practice location is 396 Remington Blvd Ste 370, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 418-6601.

Carolyn Kelly is licensed to practice in Illinois (license number 016.005524) 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 1619264041.

Contact Information

Carolyn Kelly, DPM
396 Remington Blvd Ste 370,
Bolingbrook, IL 60440-4302
(630) 418-6601
(630) 312-2223



Healthcare Provider's Profile

Full NameCarolyn Kelly
GenderFemale
SpecialityPodiatry
Experience13 Years
Location396 Remington Blvd Ste 370, Bolingbrook, Illinois
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:
  • Carolyn Kelly graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1619264041
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 08/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941424675
  • Enrollment ID: I20140618002303

Medical Identifiers

Medical identifiers for Carolyn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619264041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery 016005524 (Illinois)Secondary
213E00000XPodiatrist 135000752 (Illinois)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 016.005524 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John H Stroger Jr HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cook County2860398088619

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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. Carolyn Kelly allows following entities to bill medicare on her behalf.
Provider NameCook County
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747

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Provider NamePodiatry Plus Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1366518664
PECOS PAC ID: 9537058961
Enrollment ID: O20040313000322

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Provider NameElgin Foot & Ankle Center, S.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639270663
PECOS PAC ID: 6002854569
Enrollment ID: O20050425000593

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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. Carolyn 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
Carolyn Kelly, DPM
396 Remington Blvd Ste 370,
Bolingbrook, IL 60440-4302

Ph: (630) 418-6601
Carolyn Kelly, DPM
396 Remington Blvd Ste 370,
Bolingbrook, IL 60440-4302

Ph: (630) 418-6601

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Podiatrist in Bolingbrook, IL

Dr. Ronald P Pieroni, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 469 N Bolingbrook Dr, Bolingbrook, IL 60440
Phone: 630-378-0100    Fax: 630-378-0108
Mrs. Debra Ruth Onvejiaka, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 406 West Boughton Road, Suite C, Bolingbrook, IL 60440
Phone: 630-972-1006    Fax: 630-759-8900
Family Foot And Ankle Care, P.c.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 550 E Boughton Rd Ste 195, Bolingbrook, IL 60440
Phone: 630-739-6610    Fax: 630-410-2482
Aaron K Kim, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 396 Remington Blvd Ste 141, Bolingbrook, IL 60440
Phone: 630-418-6601    Fax: 866-512-8061
Jeffrey M Mackler, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 454 W Boughton Rd, Suite A Jeffrey M Mackler Dpm, Bolingbrook, IL 60440
Phone: 630-759-4411    Fax: 630-759-6063
Aaron Kim Dpm S.c
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 396 Remington Blvd, Bolingbrook, IL 60440
Phone: 630-418-6601    Fax: 866-512-8061
Bolingbrook Foot Specialists Ltd
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 454 W Boughton Road, Bolingbrook, IL 60440
Phone: 630-759-4411    Fax: 630-759-6063

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