| Dr Richard Jean Kelly, MD | |
|
840 Stevens Creek Rd, Augusta, GA 30907-9251 | |
| (706) 722-6957 | |
| (706) 722-7454 |
| Full Name | Dr Richard Jean Kelly |
|---|---|
| Gender | Male |
| Speciality | Radiology - Nuclear Radiology |
| Location | 840 Stevens Creek Rd, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508820424 | NPI | - | NPPES |
| 1265540314 | Other | NPI - BROWN & RADIOLOGY | |
| 00368618G | Medicaid | GA | |
| 00368618E | Medicaid | GA | |
| 00368618C | Medicaid | GA | |
| 00368618H | Medicaid | GA | |
| 00368618I | Medicaid | GA | |
| 00368618B | Medicaid | GA | |
| 00368618J | Medicaid | GA | |
| 00368618F | Medicaid | GA | |
| 10058872 | Other | AMERIGROUP | |
| 102613 | Medicaid | SC |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Sports Medicine Associates Of Augusta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043351703 PECOS PAC ID: 6204817232 Enrollment ID: O20040526000797 |
| Entity Name | Umg Neurosurgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437563467 PECOS PAC ID: 7517187164 Enrollment ID: O20141001002556 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Jean Kelly, MD Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 774-7263 | Dr Richard Jean Kelly, MD 840 Stevens Creek Rd, Augusta, GA 30907-9251 Ph: (706) 722-6957 |
Michael A Winkler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Jagadishwar Devkota, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Winged Foot Dr, Augusta, GA 30907 Phone: 706-414-8235 Fax: 706-364-2606 | |
Paul N. Karmin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9729 Fax: 706-721-8507 | |
Juhi Bansal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. William Bruce Tannehill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 13th St, Suite 250, Augusta, GA 30901 Phone: 706-724-2500 Fax: 706-823-5928 | |
Dr. Kandace Rhea Klein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912 Phone: 706-721-3233 | |
Dr. Corey Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 352-286-9383 |