| Dr Jill S Kelly, MD | |
|
1301 Medical Center Dr, Nashville, TN 37232-0028 | |
| (615) 322-5000 | |
| Not Available |
| Full Name | Dr Jill S Kelly |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1301 Medical Center Dr, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720168354 | NPI | - | NPPES |
| 920540 | Other | IL | MEDICARE PTAN GROUP |
| 036121179 | Medicaid | IL | |
| F400215043 | Other | IL | MEDICARE PTAN INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-121019 (Illinois) | Secondary |
| 208000000X | Pediatrics | 56893 (Tennessee) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill S Kelly, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Dr Jill S Kelly, MD 1301 Medical Center Dr, Nashville, TN 37232-0028 Ph: (615) 322-5000 |
Dr. English Flack, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
George Anne Raines, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Jenny Kingsley, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2200 Childrens Way, Suite 2404, Nashville, TN 37232 Phone: 615-936-1000 | |
Dr. Zenarosa C Salcedo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 339 White Bridge Pike, Nashville, TN 37209 Phone: 615-356-6877 Fax: 615-356-8270 | |
Dr. Deborah P Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Joseph Gigante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Michael Warren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Childrens Way, Dot 8232, Nashville, TN 37232 Phone: 615-936-2425 Fax: 615-343-4655 |