| Donald Shane Kelly, MD | |
|
50 Medical Park Dr E, Birmingham, AL 35235-3401 | |
| (205) 838-3435 | |
| Not Available |
| Full Name | Donald Shane Kelly |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 50 Medical Park Dr E, Birmingham, Alabama |
| 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 |
|---|---|---|---|
| 1417952185 | NPI | - | NPPES |
| 051513028 | Other | AL | BLUE CROSS |
| 009938634 | Medicaid | AL | |
| 051513024 | Other | AL | BLUE CROSS |
| 051513033 | Other | AL | BLUE CROSS |
| 009938638 | Medicaid | AL | |
| 7996461 | Other | AL | AETNA |
| 009938636 | Medicaid | AL | |
| 009938641 | Medicaid | AL | |
| 051513026 | Other | AL | BLUE CROSS |
| 009938639 | Medicaid | AL | |
| 009985785 | Medicaid | AL | |
| 051513027 | Other | AL | BLUE CROSS |
| 051513030 | Other | AL | BLUE CROSS |
| 051525309 | Other | AL | BLUE CROSS |
| 051539833 | Other | AL | BLUE CROSS |
| 009938642 | Medicaid | AL | |
| 051513024 | Medicaid | AL | |
| 051513031 | Other | AL | BLUE CROSS |
| 009938633 | Medicaid | AL | |
| 009938637 | Medicaid | AL | |
| 051513025 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 17436 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Vincent's East | Birmingham, AL | Hospital |
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Coosa Valley Medical Center | Sylacauga, AL | Hospital |
| St Vincent's St Clair | Pell city, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cullman Regional Medical Center Inc | 3274445242 | 11 |
| Birmingham Radiological Group Pc | 8022922756 | 41 |
| Entity Name | Birmingham Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376594192 PECOS PAC ID: 8022922756 Enrollment ID: O20031118000002 |
| Entity Name | Gastroenterology Associates Of North-central Alabama Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528080595 PECOS PAC ID: 3072591478 Enrollment ID: O20040712001151 |
| Entity Name | Cullman Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710640305 PECOS PAC ID: 3274445242 Enrollment ID: O20211230002135 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Shane Kelly, MD 2000a Southbridge Pkwy, Ste 300, Birmingham, AL 35209-7718 Ph: (205) 871-4274 | Donald Shane Kelly, MD 50 Medical Park Dr E, Birmingham, AL 35235-3401 Ph: (205) 838-3435 |
Dr. Garrett Colby, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Jt N342, Birmingham, AL 35249 Phone: 205-934-3108 Fax: 205-975-4413 | |
Drexell H Boggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Rm: 2253, Birmingham, AL 35233 Phone: 205-975-9399 Fax: 205-975-5184 | |
Annie M Chancey, FNP-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243 Phone: 205-971-7500 Fax: 205-971-7571 | |
James Walker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Joseph Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Michelle M Mcnamara, MD Radiology Medicare: Medicare Enrolled Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-4011 | |
Sharda Mehar Bajaj, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1526 5th Ave S, Birmingham, AL 35233 Phone: 205-279-2860 |