| Dr Michael Stephen Kelly, DO | |
|
455 Toll Gate Rd, Warwick, RI 02886-2759 | |
| (401) 737-7000 | |
| Not Available |
| Full Name | Dr Michael Stephen Kelly |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 455 Toll Gate Rd, Warwick, Rhode Island |
| 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 |
|---|---|---|---|
| 1467619825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 243253 (New York) | Secondary |
| 207P00000X | Emergency Medicine | DO00642 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Physicians Corporation | 0244518454 | 27 |
| Entity Name | Southcoast Hospitals Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306871223 PECOS PAC ID: 1850282310 Enrollment ID: O20041214000621 |
| Entity Name | First Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255493474 PECOS PAC ID: 0244518454 Enrollment ID: O20161022000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stephen Kelly, DO 1000 Montauk Hwy, Department Of Emergency Medicine, West Islip, NY 11795-4927 Ph: () - | Dr Michael Stephen Kelly, DO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 737-7000 |
Christopher Baze, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Kenneth Robert Larsen, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-736-4289 | |
Ashley Mildred Langella, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Office Of Graduate Medical Education, Warwick, RI 02886 Phone: 401-731-7000 | |
Jonathan Trent Vanadore, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Stephanie Leigh Aaron, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Road, Warwick, RI 02886 Phone: 864-650-2955 | |
Christopher J Mozdzanowski, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000 | |
Vincent Michael Varamo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 |