| Michael J Kelly, MD | |
|
406 N 1st St, Vincennes, IN 47591-1340 | |
| (812) 885-2750 | |
| (812) 885-2756 |
| Full Name | Michael J Kelly |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 406 N 1st St, Vincennes, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811972128 | NPI | - | NPPES |
| 000000668746 | Other | IN | ANTHEM |
| 100427270 | Medicaid | IN | |
| P00851313 | Other | IN | RAILROAD MEDICARE |
| M400018771 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01029257 (Indiana) | Primary |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Kelly, MD 406 N 1st St, Vincennes, IN 47591-1340 Ph: (812) 885-2750 | Michael J Kelly, MD 406 N 1st St, Vincennes, IN 47591-1340 Ph: (812) 885-2750 |
Dr. Michelle Lee Snyder, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 328 N 2nd St Ste 102, Vincennes, IN 47591 Phone: 812-910-0544 Fax: 812-494-2600 | |
Daniel J Herman Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 406 N 1st St, Vincennes, IN 47591 Phone: 812-885-0524 Fax: 812-885-0523 | |
Scott R Keyes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3810 | |
Dr. Heather Michele Ludwig Akers, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 N 1st St, Vincennes, IN 47591 Phone: 812-882-1106 Fax: 812-885-2758 | |
Scott A Stine, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 N 1st St, Vincennes, IN 47591 Phone: 812-882-1106 Fax: 812-895-2458 | |
Kristin A Mahan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 N 1st St, Vincennes, IN 47591 Phone: 812-882-1106 Fax: 812-895-2458 | |
Jane M. Bridges, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Willow St, Suite 200, Vincennes, IN 47591 Phone: 812-885-8040 Fax: 812-885-8043 |