| Jennifer Lynn Kelly, DO | |
|
1201 S Main St, Crown Point, IN 46307-8481 | |
| (219) 738-2100 | |
| (219) 933-2288 |
| Full Name | Jennifer Lynn Kelly |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 1201 S Main St, Crown Point, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942569959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 02006177A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 036.137522 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036.137522 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Delnor Community Hospital | Geneva, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1087 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Ksb Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Morris Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558466268 PECOS PAC ID: 1850372459 Enrollment ID: O20040528000663 |
| Entity Name | 24 on Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Kelly, DO 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 933-4700 | Jennifer Lynn Kelly, DO 1201 S Main St, Crown Point, IN 46307-8481 Ph: (219) 738-2100 |
Akash Shah, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 |
Mary Eileen Mccormack, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 800 W Burrell Dr, Crown Point, IN 46307 Phone: 219-663-9913 Fax: 219-663-9923 |
Usman Syed Ather, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |
Kenneth Polezoes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7310 W Lincoln Hwy, Crown Point, IN 46307 Phone: 219-322-4637 Fax: 219-322-5298 |
Rayon Golding, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |
Addis Mekonnen, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 |
Rasiya Hashim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 |