| Brian D Kelly, DO | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-2267 | |
| (307) 754-7217 |
| Full Name | Brian D Kelly |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 777 Avenue H, Powell, Wyoming |
| 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 |
|---|---|---|---|
| 1811985112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS0005851 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Cardiology And Vascular Associates Pl | 7618152083 | 8 |
| Entity Name | Premier Cardiology & Vascular Associates Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699072975 PECOS PAC ID: 7618152083 Enrollment ID: O20110428000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Kelly, DO 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 | Brian D Kelly, DO 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 |
Brittany Christensen, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 | |
Michael D Tracy, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Carletta Collins, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Aida R Polson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7730 | |
Juanita Sapp, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 128 N Bent St, Powell, WY 82435 Phone: 307-765-4107 Fax: 307-764-1892 |