| Dr Michael James Kelly, MD | |
|
300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | |
| (504) 319-6598 | |
| Not Available |
| Full Name | Dr Michael James Kelly |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 300 W Hospital Rd, Fort Gordon, Georgia |
| 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 |
|---|---|---|---|
| 1801044714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 63909 (Georgia) | Primary |
| 208D00000X | General Practice | 35228 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital | Augusta, GA | Hospital |
| Doctors Hospital | Augusta, GA | Hospital |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| University Mcduffie County Regional Medical Center | Thomson, GA | Hospital |
| Burke Medical Center | Waynesboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stephen W Brown And Radiology Associates Of Augusta Llp | 0244293322 | 18 |
| Stephen W Brown And Radiology Associates Of Augusta Llp | 0244293322 | 18 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Stephen W Brown And Radiology Associates Of Augusta Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265540314 PECOS PAC ID: 0244293322 Enrollment ID: O20041109001146 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Au Health Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1487285193 PECOS PAC ID: 4688094105 Enrollment ID: O20201021001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Kelly, MD 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 Ph: (504) 319-6598 | Dr Michael James Kelly, MD 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 Ph: (504) 319-6598 |
Dr. Christopher Bazemore, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1174 | |
Dr. Christopher Looney, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-4501 | |
Dr. Bruce Lee James, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-6245 |