MARGUERITE H KELLY D.D.S. - NPI 1104976513

Q: What is Marguerite Kelly's NPI number?

The NPI number for Marguerite Kelly is 1104976513. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Marguerite Kelly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Marguerite Kelly enrolled in Medicare?

No. Marguerite Kelly has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Marguerite Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Marguerite H Kelly D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARGUERITE H KELLY D.D.S. (NPI 1104976513) is an individual dentist in Elmhurst, Illinois and active in the NPI registry since January 2007. She has opted out of Medicare through June 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104976513

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMARGUERITE H KELLYCredential: D.D.S.

Location Address333 W 1ST STElmhurst, IL 60126-2641

Mailing Address333 W 1st StElmhurst, IL 60126-2641 · (630) 833-5110

Phone(630) 833-5110

Sole ProprietorYes

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104976513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

333 W 1ST ST, Elmhurst, IL 60126

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Marguerite H Kelly D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2017 through June 23, 2027.

Opt-Out Effective DateJune 23, 2017

Opt-Out In Effect ThroughJune 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLIVIA NICOLE DIETRICH DMD

Dentist (General Practice)