| Dr Molly Mae Kelly, MD | |
|
2202 Harlem Rd Ste 200, Loves Park, IL 61111-2754 | |
| (815) 877-4848 | |
| (815) 636-6125 |
| Full Name | Dr Molly Mae Kelly |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 2202 Harlem Rd Ste 200, Loves Park, Illinois |
| 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 |
|---|---|---|---|
| 1114187705 | NPI | - | NPPES |
| 036130382 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036130382 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | Rockford Anesthesiologists Associated Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639128598 PECOS PAC ID: 5597668004 Enrollment ID: O20040131000052 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Molly Mae Kelly, MD 2202 Harlem Rd Ste 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Dr Molly Mae Kelly, MD 2202 Harlem Rd Ste 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 |
Dr. Wieslaw J. Podlasek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Vincent J. Quinlan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Gagandeep Goyal, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5504 N 2nd St, Loves Park, IL 61111 Phone: 815-977-4516 | |
Dr. Lenney G. Kizhakepunnur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Lisa P Solomon, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Nathan J Hahn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 |