| Roger Casey Kelly, | |
|
1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3120 | |
| (928) 773-2200 | |
| Not Available |
| Full Name | Roger Casey Kelly |
|---|---|
| Gender | Male |
| Speciality | Hospice/palliative Care |
| Experience | 4 Years |
| Location | 1215 N Beaver St Ste 203, Flagstaff, Arizona |
| 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 |
|---|---|---|---|
| 1558941179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS20414 (Florida) | Secondary |
| 207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | 011567 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Arizona Healthcare Corporation | 3577473362 | 382 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Casey Kelly, 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Roger Casey Kelly, 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3120 Ph: (928) 773-2200 |
Thomas Matthew Reeve, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 210-464-7442 | |
Dr. Nathan Lawrence Whitfield, M.D., PH.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-3930 | |
Dr. Michael Ray, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-380-0476 Fax: 928-214-3882 | |
Dr. Kevin Conn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-380-0476 Fax: 928-214-3882 | |
Dr. Edward Clark Hiltner Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 Fax: 928-214-3882 | |
Sarah Joy Ring, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-3930 | |
Dr. Brian C Fuller, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6411 |