| Dr Patrick Joseph Kelty, MD | |
|
1601 South Main Street, Fall River, MA 02724-2107 | |
| (508) 678-0004 | |
| (508) 678-6970 |
| Full Name | Dr Patrick Joseph Kelty |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 35 Years |
| Location | 1601 South Main Street, Fall River, Massachusetts |
| 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 |
|---|---|---|---|
| 1548228166 | NPI | - | NPPES |
| 110088641A | Medicaid | MA | |
| 7006685 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 246352 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Joseph Kelty, MD 200 Mill Road, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Dr Patrick Joseph Kelty, MD 1601 South Main Street, Fall River, MA 02724-2107 Ph: (508) 678-0004 |
Dennis R Larock, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 South Main Street, Fall River, MA 02724 Phone: 508-678-0004 Fax: 508-678-6970 | |
John B Kaiser, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1601 South Main Street, Fall River, MA 02724 Phone: 508-678-0004 Fax: 508-678-6970 | |
Didi Pathak Theva, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 S Main St, Fall River, MA 02724 Phone: 508-678-0004 Fax: 508-678-6970 | |
David Bae, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 South Main Street, Fall River, MA 02724 Phone: 508-678-0004 Fax: 508-678-6970 | |
John C Carroll, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 South Main Street, Fall River, MA 02724 Phone: 508-678-0004 Fax: 508-678-6970 |