| Dr Kevin M Phelan, MD | |
|
51 Mdg, Unit 2060, Apo, AP 96278 | |
| (505) 784-8717 | |
| Not Available |
| Full Name | Dr Kevin M Phelan |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 51 Mdg, Unit 2060, Apo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497012488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD210001446 (District Of Columbia) | Primary |
| 208600000X | Surgery | 125.062147 (Illinois) | Secondary |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | Surgical Specialists Of Charlotte Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin M Phelan, MD 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 677-6219 | Dr Kevin M Phelan, MD 51 Mdg, Unit 2060, Apo, AP 96278 Ph: (505) 784-8717 |
Aaron Lane, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Bdaach/549th Hc, Apo, AP 96271 Phone: 315-737-1219 | |
Dr. Harry Truman Aubin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Brian Allgood Army Communit Hospital, 121 Csh Unit 15244, Apo, AP 96205 Phone: 315-737-1244 | |
Joy Liang, Surgery Medicare: Medicare Enrolled Practice Location: Unit 15245 Box Brian, Apo, AP 96271 Phone: 315-737-2265 | |
Dr. Max Chae, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 51 Medical Group, Unit 2060, Apo, AP 96278 Phone: 929-326-0251 | |
Dr. Christopher Ng, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 51st Mdg, Osan Air Base, South Korea, Apo, AP 96278 Phone: 807-935-0707 | |
Dr. Benjamin James Duddy, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: Unit 5024 Box Psc, Apo, AP 96319 Phone: 017-677-6750 |