| Andrew Kelsey, MD | |
|
1078 W Main St, Waterbury, CT 06708-2651 | |
| (203) 757-1585 | |
| Not Available |
| Full Name | Andrew Kelsey |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 1078 W Main St, Waterbury, 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 |
|---|---|---|---|
| 1649664731 | NPI | - | NPPES |
| NN421 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME148242 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Dermatology Of Vernon Pllc | 2961835798 | 4 |
| Integrated Dermatology Of Enfield, Llc | 6305061912 | 8 |
| Integrated Dermatology Of Clinton Llc | 7416257381 | 7 |
| Integrated Dermatology Of Groton Llc | 8527297050 | 4 |
| Integrated Dermatology Of Waterbury Llc | 9133467665 | 5 |
| Entity Name | Integrated Dermatology Of Groton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265868558 PECOS PAC ID: 8527297050 Enrollment ID: O20140204000676 |
| Entity Name | Integrated Dermatology Of Enfield, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544661 PECOS PAC ID: 6305061912 Enrollment ID: O20140715000874 |
| Entity Name | Integrated Dermatology Of Clinton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457728883 PECOS PAC ID: 7416257381 Enrollment ID: O20151125000408 |
| Entity Name | Integrated Dermatology Of Waterbury Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588136220 PECOS PAC ID: 9133467665 Enrollment ID: O20190208000034 |
| Entity Name | Integrated Dermatology Of Vernon Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063055853 PECOS PAC ID: 2961835798 Enrollment ID: O20191209000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Kelsey, MD 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 Ph: () - | Andrew Kelsey, MD 1078 W Main St, Waterbury, CT 06708-2651 Ph: (203) 757-1585 |
Dr. Jeffrey N Alter, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1078 W Main St, Waterbury, CT 06708 Phone: 203-757-1585 Fax: 203-757-0300 | |
Eugene Mirrer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Grandview Ave, Suite 103, Waterbury, CT 06708 Phone: 203-757-8919 Fax: 203-756-4697 | |
Salvatore V Romano, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Grandview Ave, Suite 103, Waterbury, CT 06708 Phone: 203-757-8919 Fax: 203-756-4697 | |
Dr. Lance R Eriksen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Grandview Ave, Suite 103, Waterbury, CT 06708 Phone: 203-757-8919 Fax: 203-756-4697 |