| Scott T Kelley, MD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | |
| (863) 680-7486 | |
| (866) 264-8519 |
| Full Name | Scott T Kelley |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811938996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | ME87127 (Florida) | Secondary |
| 208600000X | Surgery | ME87127 (Florida) | Primary |
| Entity Name | Nantucket Cottage Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447214622 PECOS PAC ID: 1759357601 Enrollment ID: O20050104000928 |
| Entity Name | Nantucket Physicians Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568798510 PECOS PAC ID: 6608065438 Enrollment ID: O20110111000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott T Kelley, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7000 | Scott T Kelley, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7486 |
Mr. Tami Lynn Hower, ARNP Surgery Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-603-6534 | |
Philip K. Thomas, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4428 Sugartree Dr E, Lakeland, FL 33813 Phone: 863-644-2704 | |
Dr. Gustavo Alberto De Jesus-gomez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5325 Us Hwy 98 S, Lakeland, FL 33812 Phone: 863-937-3139 Fax: 863-937-3147 | |
Dr. Toan Thien Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3525 Lakeland Hills Blvd # D, Lakeland, FL 33805 Phone: 863-603-6565 Fax: 863-603-6554 | |
Ann Laurel Licht, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7214 Fax: 866-264-8519 | |
Diana A Burgueno Vega, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo Street, Lakeland, FL 33803 Phone: 863-284-5941 Fax: 863-284-5199 | |
Manuel Alberto Molina-vega, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3525 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-603-6565 Fax: 863-904-1961 |