TIMOTHY RICHARD KELLY MD NPI 1003026261

Psychiatry & Neurology (Psychiatry) in Oxford, MS

NPI 1003026261 Individual Male Psychiatry & Neurology Psychiatry Opted-Out Medicare

About TIMOTHY KELLY

Timothy Kelly is a provider established in Oxford, Mississippi and his medical specialization is psychiatry & neurology (psychiatry) . The NPI number of Timothy Kelly is 1003026261 and was assigned on May 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 17172 (MS). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A psychiatrist like Timothy Richard Kelly Md are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Timothy Kelly is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Timothy Kelly opted out of Medicare effective on 10-01-2012 until 10-01-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

NPI

1003026261

Provider Name TIMOTHY RICHARD KELLY MD
Provider Location Address510 AZALEA DR STE 200 OXFORD, MS 38655
Provider Mailing Address438 COUNTY ROAD 471 WATER VALLEY, MS 38965
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-23-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.17172
License StateMS
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

TIMOTHY RICHARD KELLY MD
510 AZALEA DR STE 200
OXFORD, MS
ZIP 38655
Phone: (662) 236-6696

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Mailing Address

TIMOTHY RICHARD KELLY MD
438 COUNTY ROAD 471
WATER VALLEY, MS
ZIP 38965
Phone: (662) 281-0945



Medicare Participation

Opted-Out of MedicareYes
Opt-Out Effective Date10-01-2012
Opt-Out End Date10-01-2022
Eligible to Order and ReferNo

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.