| Dr Scott Patrick Kelly, MD | |
|
Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | |
| (269) 781-7040 | |
| Not Available |
| Full Name | Dr Scott Patrick Kelly |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Oaklawn Hospital, Marshall, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467434357 | NPI | - | NPPES |
| 752726 | Medicaid | AZ | |
| 3981220 | Other | EVERCARE GRP NBR | |
| AW1436 | Other | AZ | HEALTHNET GRP NBR |
| AZ0728670 | Other | AZ | BLUECROSS BLUESHIELD GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 29476 (Arizona) | Primary |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Independent Observation Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Iep Observation Medicine - Jackson Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982478251 PECOS PAC ID: 6800234592 Enrollment ID: O20240401000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Patrick Kelly, MD 333 N Grand St, Marshall, MI 49068-1109 Ph: (480) 221-7599 | Dr Scott Patrick Kelly, MD Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 Ph: (269) 781-7040 |
Ginger Williams, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 N Madison St, Marshall, MI 49068 Phone: 269-781-4271 | |
Dr. Sura Lyonnet, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N. Madison St., Marshall, MI 49068 Phone: 269-781-4271 |