| David W Kelley, MD | |
|
2001 W 86th St, Indianapolis, IN 46260-1902 | |
| (317) 614-9817 | |
| (317) 614-9655 |
| Full Name | David W Kelley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 41 Years |
| Location | 2001 W 86th St, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1134101637 | NPI | - | NPPES |
| 100228840 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01033305 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Anesthesia Services, Llc | 7719891027 | 89 |
| Entity Name | Northside Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568444693 PECOS PAC ID: 7719891027 Enrollment ID: O20031119000284 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Kelley, MD Po Box 7232, Dept 165, Indianapolis, IN 46207-7232 Ph: (866) 282-7905 | David W Kelley, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 614-9817 |
Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503 | |
Jennifer Marie Labrie-deem, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-6262 | |
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 | |
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191 | |
Christian N Beaton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191 |