| Dr Lisa Ann Kelty, MD | |
|
H100 Santa Margerita Rd, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 | |
| (904) 343-4656 | |
| Not Available |
| Full Name | Dr Lisa Ann Kelty |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | H100 Santa Margerita Rd, Camp Pendleton, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649210808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35-07-1005-K (Ohio) | Primary |
| 207P00000X | Emergency Medicine | C143642 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| P H S Indian Hospital Crow / Northern Cheyenne | Crow agency, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sharp Rees-stealy Medical Group Inc | 8628972759 | 767 |
| U S Health Dept Of Health And Human Services | 9638081623 | 66 |
| Entity Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| Entity Name | Emergency Medicine Group Of Encinitas, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902805179 PECOS PAC ID: 7618929381 Enrollment ID: O20050210000997 |
| Entity Name | Encinitas Emergency Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598362568 PECOS PAC ID: 1951711357 Enrollment ID: O20201112002457 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Ann Kelty, MD Po Box 1203, Carlsbad, CA 92018-1203 Ph: (904) 343-4656 | Dr Lisa Ann Kelty, MD H100 Santa Margerita Rd, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Ph: (904) 343-4656 |
Dr. Michael Andrew Galuska, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Building H100, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1620 | |
Dr. Syed A Hussain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-4966 Fax: 760-725-1014 | |
Adrian Korduba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Jessica Nicole Cubillos, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Kristopher Robert Lange, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 801-921-2770 | |
Amanda Mona Lau, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3462 | |
Carrie J. Nichols, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058 Phone: 760-719-3616 Fax: 760-725-1101 |