| Dr Thomas B Kelso Ii, MD | |
|
902 N Howe St, Southport, NC 28461-3038 | |
| (910) 457-4789 | |
| (910) 579-4589 |
| Full Name | Dr Thomas B Kelso Ii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 902 N Howe St, Southport, North Carolina |
| 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 |
|---|---|---|---|
| 1265570469 | NPI | - | NPPES |
| 204883003 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 120032 (Missouri) | Secondary |
| 207X00000X | Orthopaedic Surgery | 200300626 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergeortho Pa | 0749188894 | 612 |
| Entity Name | Emergeortho Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas B Kelso Ii, MD 902 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-4789 | Dr Thomas B Kelso Ii, MD 902 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-4789 |
Michael M Marushack, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Matthew John Landfried, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1513 N Howe St, Southport, NC 28461 Phone: 910-454-8030 | |
Mark D Foster, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Eric Jon Lescault, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 |