| Dr Kelly Leaf, MD | |
|
24800 Se Stark St, Emergency Department, Gresham, OR 97030-3378 | |
| (503) 674-1122 | |
| Not Available |
| Full Name | Dr Kelly Leaf |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 24800 Se Stark St, Gresham, Oregon |
| 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 |
|---|---|---|---|
| 1023071016 | NPI | - | NPPES |
| 202438 | Other | WA L&I | |
| 8370835 | Medicaid | WA | |
| 287166 | Medicaid | OR | |
| 858543006 | Other | REGENCE BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD22901 (Oregon) | Primary |
| Entity Name | One-stop Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982008025 PECOS PAC ID: 8628380441 Enrollment ID: O20150708001923 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Leaf, MD 24800 Se Stark St, Emergency Department, Gresham, OR 97030-3378 Ph: (503) 674-1122 | Dr Kelly Leaf, MD 24800 Se Stark St, Emergency Department, Gresham, OR 97030-3378 Ph: (503) 674-1122 |
Karen Jeanne O'neill, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Nigel M Longland, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Daniel R Berger, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Crystal Weis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Joel B Brenner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Jason Roger Bell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Legacy Mt. Hood Medical Center, Emergency Medicine, Gresham, OR 97030 Phone: 503-674-1400 |