| Amy P Kelly, DO | |
|
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
| (262) 321-3000 | |
| Not Available |
| Full Name | Amy P Kelly |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 8400 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043638083 | NPI | - | NPPES |
| 100070728 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101020881 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 67431 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy P Kelly, DO Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Amy P Kelly, DO 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 321-3000 |
Ms. Priya Ramdass, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3000 Fax: 262-321-3011 | |
Dr. Angelo B Reyes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5801 Washington Ave, Ste 99, Mount Pleasant, WI 53406 Phone: 913-359-6001 Fax: 913-359-5552 | |
Michael Pothen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Christopher Vincent Cataldi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Dr. Mathew Pothen, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Dr. James Dean Mataczynski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3805b Spring St, Suite 250, Mount Pleasant, WI 53405 Phone: 262-634-6679 Fax: 262-634-7935 |