| Jody L Kelly, MD | |
|
2901 N. Knoxville Ave., Peoria, IL 61603 | |
| (309) 688-7010 | |
| (309) 688-7044 |
| Full Name | Jody L Kelly |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 2901 N. Knoxville Ave., Peoria, Illinois |
| 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 |
|---|---|---|---|
| 1932107208 | NPI | - | NPPES |
| 036102228 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036102228 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jody L Kelly Md And Associates, Llc | 9234119728 | 4 |
| Entity Name | Jody L Kelly Md & Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881610475 PECOS PAC ID: 9234119728 Enrollment ID: O20040723001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody L Kelly, MD 2901 N. Knoxville Ave., Peoria, IL 61603 Ph: (309) 688-7010 | Jody L Kelly, MD 2901 N. Knoxville Ave., Peoria, IL 61603 Ph: (309) 688-7010 |
Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722 | |
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144 | |
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163 | |
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000 | |
Mrs. Tamara L. Olt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6915 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-2805 Fax: 309-692-1913 | |
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739 | |
Rida W Boulos, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637 Phone: 309-655-3024 |