| John Robert Kelly, MD | |
|
357 Genesee Street, Oneida Surgical Group Pc, Oneida, NY 13421 | |
| (315) 363-8800 | |
| (315) 363-0103 |
| Full Name | John Robert Kelly |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 357 Genesee Street, Oneida, 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 |
|---|---|---|---|
| 1629151949 | NPI | - | NPPES |
| 025001 | Other | MVP | |
| 00040192301 | Other | UNIVERA | |
| 00911284001 | Other | BS OF NORTHEASTERN NY | |
| 0100576 | Other | GHI | |
| 22160 | Other | HEALTHSOURCE HMO NY | |
| 5897089 | Other | AETNA US HEALTHCARE | |
| 01192492 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 181918 (New York) | Primary |
| Entity Name | Oneida Surgical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770642902 PECOS PAC ID: 3779527718 Enrollment ID: O20050610000651 |
| Mailing Address | Practice Location Address |
|---|---|
| John Robert Kelly, MD 357 Genesee Street, Oneida, NY 13421 Ph: (315) 363-8800 | John Robert Kelly, MD 357 Genesee Street, Oneida Surgical Group Pc, Oneida, NY 13421 Ph: (315) 363-8800 |
Pedro Jose Delpino, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 357 Genesee Street, Oneida Surgical Group Pc, Oneida, NY 13421 Phone: 315-363-8800 Fax: 315-363-0103 | |
Alberto Jose Del Pino, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 357 Genesee Street, Oneida Surgical Group Pc, Oneida, NY 13421 Phone: 315-363-8800 Fax: 315-363-0103 |