| Kelli Darlene Duggan, MD | |
|
100 Mallard Creek Rd Ste 320, Louisville, KY 40207-5136 | |
| (502) 855-6125 | |
| (502) 394-1972 |
| Full Name | Kelli Darlene Duggan |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 100 Mallard Creek Rd Ste 320, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1386175925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101283797 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 52883 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Riverside Doctors' Hospital Of Williamsburg | Williamsburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Darlene Duggan, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Kelli Darlene Duggan, MD 100 Mallard Creek Rd Ste 320, Louisville, KY 40207-5136 Ph: (502) 855-6125 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |