| Jared M Kelly, MD | |
|
14000 Fivay Rd, Hudson, FL 34667-7103 | |
| (727) 819-2929 | |
| Not Available |
| Full Name | Jared M Kelly |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 8 Years |
| Location | 14000 Fivay Rd, Hudson, Florida |
| 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 |
|---|---|---|---|
| 1225533474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 390200000X (Florida) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME149273 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Consortium Inc | 0244269413 | 444 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared M Kelly, MD 17671 Deer Isle Cir, Winter Garden, FL 34787-9420 Ph: () - | Jared M Kelly, MD 14000 Fivay Rd, Hudson, FL 34667-7103 Ph: (727) 819-2929 |
Dr. Deborah Saepharn, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2966 | |
Ramya Pinnamaneni, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14100 Fivay Rd Ste 380, Hudson, FL 34667 Phone: 727-868-9208 Fax: 727-868-6420 | |
Dr. Domenick J Sorresso, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7614 Jacque Rd Ste C, Hudson, FL 34667 Phone: 727-857-5967 Fax: 727-857-5972 | |
Dr. Anthony Maurice Salibi, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2966 Fax: 727-819-2928 | |
Austin Van Vliet, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd Fl 34667, Hudson, FL 34667 Phone: 727-819-2966 Fax: 727-819-2928 | |
Benjamin Kuritzky, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7651 Medical Dr, Hudson, FL 34667 Phone: 727-868-9208 Fax: 727-868-6420 | |
Dr. Luis R. Annoni-suau, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14100 Fivay Rd, Suite 310, Hudson, FL 34667 Phone: 727-862-3202 Fax: 727-862-2182 |