| Kelley J Stanley, MD | |
|
11 Academy Rd, Monmouth, ME 04259-7035 | |
| (207) 524-3501 | |
| (207) 933-9645 |
| Full Name | Kelley J Stanley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 11 Academy Rd, Monmouth, Maine |
| 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 |
|---|---|---|---|
| 1013005313 | NPI | - | NPPES |
| 1013005313 | Medicaid | ME | |
| 110069191 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD22289 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Regional Medical Center | Lewiston, ME | Hospital |
| Central Maine Medical Center | Lewiston, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Medical Center | 0042107120 | 178 |
| Dfd Russell Medical Center Inc | 3274502000 | 12 |
| Entity Name | St Marys Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley J Stanley, MD 180 Church Hill Rd, Leeds, ME 04263-3418 Ph: (207) 524-3501 | Kelley J Stanley, MD 11 Academy Rd, Monmouth, ME 04259-7035 Ph: (207) 524-3501 |
Peggy D. Wyman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Academy Rd, Monmouth, ME 04259 Phone: 207-524-3501 Fax: 207-933-9645 | |
John M Yindra, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Academy Rd, Monmouth, ME 04259 Phone: 207-524-3501 Fax: 207-933-9645 |