Jillian Egan Kelly, | |
23 Hackett Blvd, Albany, NY 12208-3436 | |
(518) 262-4784 | |
Not Available |
Full Name | Jillian Egan Kelly |
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Gender | Female |
Speciality | Urology |
Location | 23 Hackett Blvd, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912430356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | 291187 (Massachusetts) | Primary |
Entity Name | Glens Falls Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
Entity Name | Columbia Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Jillian Egan Kelly, 23 Hackett Blvd, Albany, NY 12208-3436 Ph: () - | Jillian Egan Kelly, 23 Hackett Blvd, Albany, NY 12208-3436 Ph: (518) 262-4784 |
Dr. Jonah Marshall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 106, Albany, NY 12208 Phone: 518-438-1019 Fax: 518-489-7642 | |
Rebecca Leigh O'malley, MD Urology Medicare: Medicare Enrolled Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Brian Patrick Murray, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Executive Park, Albany, NY 12203 Phone: 518-489-7494 Fax: 518-489-7641 | |
Dr. Adam Shattuck Howe, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd # Mc-108, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Dr. Robert Charles Welliver Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Jean G. Hollowell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 23 Hackett Blvd, Mc 208, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Barry Kogan, Urology Medicare: Medicare Enrolled Practice Location: South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 Phone: 518-262-3341 |