| Julie L Kelley, MD | |
|
325 Spring St, Red Bud, IL 62278-1105 | |
| (618) 282-3831 | |
| (618) 282-1919 |
| Full Name | Julie L Kelley |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 325 Spring St, Red Bud, 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 |
|---|---|---|---|
| 1306980552 | NPI | - | NPPES |
| 36100230 | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36100230 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Red Bud Regional Hospital | Red bud, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 145 |
| Entity Name | Deaconess Illinois Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
| Entity Name | Deaconess Illinois Red Bud Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619693926 PECOS PAC ID: 9537531579 Enrollment ID: O20230221000484 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie L Kelley, MD 325 Spring St, Red Bud, IL 62278-1105 Ph: (618) 282-3831 | Julie L Kelley, MD 325 Spring St, Red Bud, IL 62278-1105 Ph: (618) 282-3831 |
Dr. Abby Lea Harris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-7373 Fax: 618-282-7376 |