| John F Kelly, MD | |
|
1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | |
| (651) 232-7800 | |
| (651) 232-7826 |
| Full Name | John F Kelly |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1655 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548221146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 37405 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Mailing Address | Practice Location Address |
|---|---|
| John F Kelly, MD 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 Ph: (651) 232-7800 | John F Kelly, MD 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 Ph: (651) 232-7800 |
Dr. Madelin Faye Schneck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-241-9500 | |
Madeline Paul, Pediatrics Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 | |
Alyssa Decker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 | |
Rachel A Bye, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Beam Ave, Suite 302, Maplewood, MN 55109 Phone: 651-232-7800 Fax: 651-232-7826 | |
Sarah O Colwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Beam Ave, Suite 202, Maplewood, MN 55109 Phone: 651-232-7800 Fax: 651-232-7826 | |
Mary K Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-241-9500 | |
Duane K Hasegawa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109 Phone: 651-779-1500 Fax: 651-770-3371 |