DR. JEANNETTE SUZANNE CODERE KELLY D.O. - NPI 1154769081

Q: What is Jeannette Kelly's NPI number?

The NPI number for Jeannette Kelly is 1154769081. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Q: What is Jeannette Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeannette Kelly was last updated on September 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jeannette Suzanne Codere Kelly D.o. NPPES

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

DR. JEANNETTE SUZANNE CODERE KELLY D.O. (NPI 1154769081) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125063705) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1154769081

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEANNETTE SUZANNE CODERE KELLYCredential: D.O.

Location Address180 N MICHIGAN AVE STE 1605Chicago, IL 60601-7478

Mailing Address180 N Michigan Ave Ste 1605Chicago, IL 60601-7478 · (312) 994-3000 · Fax (612) 201-1202

Phone(312) 994-3000

Fax(612) 201-1202

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013

Enumeration DateJune 13, 2013

Last NPPES UpdateSeptember 12, 2019

✔ NPI 1154769081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125063705

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

180 N MICHIGAN AVE STE 1605, Chicago, IL 60601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeannette Suzanne Codere Kelly D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810120714

PECOS Enrollment IDI20160713002781

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60601 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 5

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

SHIRA KAZZAZ NP

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