| Dr Kelly D Ross, MD | |
|
140 W 4th St Ste 1, Saint Ansgar, IA 50472-1352 | |
| (641) 736-4401 | |
| (641) 736-4407 |
| Full Name | Dr Kelly D Ross |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 140 W 4th St Ste 1, Saint Ansgar, Iowa |
| 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 |
|---|---|---|---|
| 1770675399 | NPI | - | NPPES |
| 07000 | Other | IA | WELLMARK |
| 0213892 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23076 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mitchell County Home Health Care/ Public Health | Osage, IA | Home health agency |
| St Croix Hospice | New hampton, IA | Hospice |
| Mitchell County Regional Health | Osage, IA | Hospital |
| Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
| Good Samaritan Society - Saint Ansgar | Saint ansgar, IA | Nursing home |
| Stacyville Community Nursing Home | Stacyville, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mitchell County Memorial Hospital | 5890603070 | 23 |
| Entity Name | Mitchell County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407925522 PECOS PAC ID: 5890603070 Enrollment ID: O20040127000973 |
| Entity Name | Mitchell County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1033291927 PECOS PAC ID: 5890603070 Enrollment ID: O20061104000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly D Ross, MD 140 W 4th St Ste 1, Po Box 249, Saint Ansgar, IA 50472-1352 Ph: (641) 736-4401 | Dr Kelly D Ross, MD 140 W 4th St Ste 1, Saint Ansgar, IA 50472-1352 Ph: (641) 736-4401 |