| Kelly Lynne Dodge, MD | |
|
20 York St, New Haven, CT 06510-3220 | |
| (203) 688-2259 | |
| (203) 688-5599 |
| Full Name | Kelly Lynne Dodge |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 20 York St, New Haven, Connecticut |
| 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 |
|---|---|---|---|
| 1275701286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 046275 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of Orange County | 9436692100 | 53 |
| Entity Name | Newport Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922061779 PECOS PAC ID: 9537147897 Enrollment ID: O20041026001111 |
| Entity Name | Emergency Physicians Of Orange County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912771569 PECOS PAC ID: 9436692100 Enrollment ID: O20240621003785 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lynne Dodge, MD 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 Ph: (203) 737-2489 | Kelly Lynne Dodge, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-2259 |
Sandra Seelig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Ashley Ann Jacobson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-737-7694 | |
Charles Ryan Wira Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510 Phone: 203-688-2222 Fax: 203-785-4580 | |
Lisa Tian-tian Zhang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mary S Bogucki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 | |
Dr. Daniel Seth Greenstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, New Haven, CT 06519 Phone: 203-688-4242 | |
Mr. Jonathan Meldrum, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 464 Congress Ave, Suite #260, New Haven, CT 06519 Phone: 203-737-2644 |