| Dr Kevin R Shelly, MD | |
|
810 W Highway 71, Marble Falls, TX 78654-8602 | |
| (830) 201-8000 | |
| Not Available |
| Full Name | Dr Kevin R Shelly |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 29 Years |
| Location | 810 W Highway 71, Marble Falls, Texas |
| 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 |
|---|---|---|---|
| 1083656060 | NPI | - | NPPES |
| 8AG658 | Other | TX | BCBS |
| 122786218 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | K6504 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Austin Medical Center | Austin, TX | Hospital |
| St David's South Austin Medical Center | Austin, TX | Hospital |
| St David's Medical Center | Austin, TX | Hospital |
| Round Rock Medical Center | Round rock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Anesthesiology Group Pllc | 0547256497 | 400 |
| Entity Name | Austin Anesthesiology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Citizens Medical Center County Of Victoria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin R Shelly, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Dr Kevin R Shelly, MD 810 W Highway 71, Marble Falls, TX 78654-8602 Ph: (830) 201-8000 |
Dr. Dusan Damjanovic, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 810 W Highway 71, Marble Falls, TX 78654 Phone: 830-201-8000 Fax: 830-201-8008 | |
Dr. Jack F. Lay Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 810 W Highway 71, Marble Falls, TX 78654 Phone: 830-201-8000 Fax: 830-201-8008 | |
Mr. Gary Edward Shanks, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 810 W Highway 71, Marble Falls, TX 78654 Phone: 830-201-8000 Fax: 830-201-8008 | |
Dr. Jazmin Graff, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 707 3rd St, Marble Falls, TX 78654 Phone: 830-581-2247 Fax: 830-693-9194 | |
Todd H Martin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 810 W Highway 71, Marble Falls, TX 78654 Phone: 830-201-8000 | |
Shawn Padira Reddy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 W Highway 71, Marble Falls, TX 78654 Phone: 254-724-2111 |