| Dr Frederick Wayne Kelly, MD | |
|
310 W Grand Ave, Rainbow City, AL 35906-3236 | |
| (256) 459-5132 | |
| (256) 459-5179 |
| Full Name | Dr Frederick Wayne Kelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 310 W Grand Ave, Rainbow City, 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 |
|---|---|---|---|
| 1750327854 | NPI | - | NPPES |
| 051523084 | Medicaid | AL | |
| 051523084 | Other | BLUE CROSS | |
| P00147324 | Other | RAILROAD MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17437 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coosa Family Care, Llc | 8325470271 | 3 |
| Entity Name | Coosa Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578113221 PECOS PAC ID: 8325470271 Enrollment ID: O20191114000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Wayne Kelly, MD 310 W Grand Ave, Rainbow City, AL 35906-3236 Ph: (256) 459-5132 | Dr Frederick Wayne Kelly, MD 310 W Grand Ave, Rainbow City, AL 35906-3236 Ph: (256) 459-5132 |
James Philip Graham, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 W Grand Ave, Rainbow City, AL 35906 Phone: 256-442-1453 | |
Dr. Sharon M Haynes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3212 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-442-7683 Fax: 256-442-8357 | |
Ms. Rochelle Grant, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E Grand Ave, Rainbow City, AL 35906 Phone: 256-413-1333 Fax: 256-413-0078 | |
John Mattox Raines, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 Independent Dr Ste A, Rainbow City, AL 35906 Phone: 256-442-1834 Fax: 877-991-4819 |