| Mara Wells Kelley, MD | |
|
4545 Cordata Pkwy, Bellingham, WA 98226-7123 | |
| (360) 738-2200 | |
| (360) 752-5678 |
| Full Name | Mara Wells Kelley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4545 Cordata Pkwy, Bellingham, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104937093 | NPI | - | NPPES |
| 1104937093 | Medicaid | WA | |
| 0212KE | Other | WA | REGENCE |
| 0265880 | Other | WA | L&I AND CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ML20008684 (Washington) | Secondary |
| 208000000X | Pediatrics | MD60170884 (Washington) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Wells Kelley, MD Po Box 5096, Bellingham, WA 98227-5096 Ph: (360) 738-2200 | Mara Wells Kelley, MD 4545 Cordata Pkwy, Bellingham, WA 98226-7123 Ph: (360) 738-2200 |
Elizabeth Amy Hicks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Bellinger Rd, Bellingham, WA 98226 Phone: 858-775-6513 | |
Nancy K Bischoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 | |
Steven F. Wallace, M.D.,PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5679 | |
Julianne Elise Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-738-2200 Fax: 360-752-5683 | |
Alyse Watkins, DNP, CPNP-PC/AC Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy Ste 1e, Bellingham, WA 98226 Phone: 360-752-5246 Fax: 360-752-5678 | |
James J. Bochsler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-715-2486 |