| Shayne Kelly, DO | |
|
6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | |
| (509) 460-5588 | |
| (509) 783-5438 |
| Full Name | Shayne Kelly |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 9 Years |
| Location | 6703 W Rio Grande Ave, Kennewick, Washington |
| 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 |
|---|---|---|---|
| 1841723582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 02007338A (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-state Orthopaedic Surgeons Inc | 6800781949 | 68 |
| Entity Name | Tri-state Orthopaedic Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073501003 PECOS PAC ID: 6800781949 Enrollment ID: O20040218000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayne Kelly, DO 76102 E Canyon Meadow Dr, Kennewick, WA 99338-5016 Ph: (509) 302-9733 | Shayne Kelly, DO 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 Ph: (509) 460-5588 |
Scott Delafield Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Randall Alan Espinosa, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 711 S Auburn St, Kennewick, WA 99336 Phone: 509-586-2828 | |
Cathryn Joyce Vadala, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 W Hood Pl Ste 200, Kennewick, WA 99336 Phone: 509-737-7919 | |
Judd R Fitzgerald, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Eric B Lowe, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Mark R Merrell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Mrs. Julie Ann Israelsen, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 590-460-5588 Fax: 509-783-5438 |