| Dr Kelly Powell, DO | |
|
900 E Main St Ste 106, Grass Valley, CA 95945-5853 | |
| (747) 500-4253 | |
| (747) 356-4377 |
| Full Name | Dr Kelly Powell |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 9 Years |
| Location | 900 E Main St Ste 106, Grass Valley, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821442666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 18870 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Health Llc | 8729457742 | 3 |
| Entity Name | J M Geiss Do Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825289 PECOS PAC ID: 6103044078 Enrollment ID: O20140919001932 |
| Entity Name | Grass Valley Extended Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765218 PECOS PAC ID: 7416262589 Enrollment ID: O20150818006193 |
| Entity Name | Flores And Flores Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588016026 PECOS PAC ID: 7012204878 Enrollment ID: O20160921002085 |
| Entity Name | California Phs Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649932781 PECOS PAC ID: 2062808645 Enrollment ID: O20220407001048 |
| Entity Name | Prime Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568174118 PECOS PAC ID: 8729457742 Enrollment ID: O20221214002867 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Powell, DO 900 E Main St Ste 106, Grass Valley, CA 95945-5853 Ph: (916) 234-0024 | Dr Kelly Powell, DO 900 E Main St Ste 106, Grass Valley, CA 95945-5853 Ph: (747) 500-4253 |
Dr. Christopher Montanaro, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 565 Brunswick Rd, Suite #1, Grass Valley, CA 95945 Phone: 530-274-7174 Fax: 530-274-7194 | |
Angela Ingendaay, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 150 S Auburn St, Grass Valley, CA 95945 Phone: 530-272-0537 |