| Molly A Kelly, MD | |
|
10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 | |
| (260) 234-5400 | |
| (260) 235-5410 |
| Full Name | Molly A Kelly |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 10101 Ernst Rd Ste 1200, Roanoke, Indiana |
| 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 |
|---|---|---|---|
| 1780112870 | NPI | - | NPPES |
| 000001338628 | Other | IN | ANTHEM PTAN |
| 300007459 | Medicaid | IN | |
| 000001338637 | Other | IN | ANTHEM PTAN |
| 000001525751 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01081728A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01081728A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01081728A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Parkview Huntington Hospital | Huntington, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly A Kelly, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Molly A Kelly, MD 10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 Ph: (260) 234-5400 |