Dr Stephen Michael Kelly, DO | |
130 Division St, Derby, CT 06418-1326 | |
(203) 735-7421 | |
Not Available |
Full Name | Dr Stephen Michael Kelly |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558504258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 69876 (Connecticut) | Primary |
207P00000X | Emergency Medicine | 25MB09297100 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Griffin Hospital | Derby, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Warren Physician Group Pc | 9739093675 | 314 |
Stationmd Professional Corporation | 6204184104 | 42 |
Stationmd Professional Corporation | 6204184104 | 42 |
Stationmd Professional Corporation | 6204184104 | 42 |
Emergency Physicians Of Connecticut Pc | 8820390214 | 49 |
Entity Name | Middlesex Emergency Physicians, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811921760 PECOS PAC ID: 9931002854 Enrollment ID: O20040129000034 |
Entity Name | St Lukes Warren Physician Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679847396 PECOS PAC ID: 9739093675 Enrollment ID: O20040323000967 |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | Stationmd Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285015347 PECOS PAC ID: 6204184104 Enrollment ID: O20180809001193 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Michael Kelly, DO 2631 Durham Rd, Guilford, CT 06437-1049 Ph: () - | Dr Stephen Michael Kelly, DO 130 Division St, Derby, CT 06418-1326 Ph: (203) 735-7421 |
Dr. Sybil Cheng, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 | |
Dr. Indrani Datta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Dr. Gregory Boris, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 | |
Russell Scott Holliday, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Laura Butler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Shane Leslie Leighton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 |