| Stephanie Elaine Kelly, DO | |
|
3300 Nw Expressway, Oklahoma City, OK 73112-4418 | |
| (405) 949-3011 | |
| Not Available |
| Full Name | Stephanie Elaine Kelly |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3300 Nw Expressway, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1598721755 | NPI | - | NPPES |
| 200031830B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 3749 (Oklahoma) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | A-2464-21 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oklahoma Radiology Group P C | 9032101688 | 62 |
| Radiology Associates Llc | 4082692496 | 20 |
| Entity Name | Oklahoma Radiology Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841283165 PECOS PAC ID: 9032101688 Enrollment ID: O20040401001538 |
| Entity Name | Tulsa Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Elaine Kelly, DO Department 960591, Oklahoma City, OK 73196-0591 Ph: (800) 637-8884 | Stephanie Elaine Kelly, DO 3300 Nw Expressway, Oklahoma City, OK 73112-4418 Ph: (405) 949-3011 |
Dr. Jennifer Kathleen Hinkle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-2589 | |
Dr. Bryan Lee Van Zandt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4625 S Western Ave, Oklahoma City, OK 73109 Phone: 405-632-2323 Fax: 405-631-9315 | |
Evelyn Lorents, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Charles Eric Eckman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 14101 Parkway Commons, Oklahoma City, OK 73134 Phone: 405-749-6277 | |
Robert K Gelczer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3433 Nw 56th St., Suite C-40, Oklahoma City, OK 73112 Phone: 405-945-4741 Fax: 888-972-5320 | |
Vikas Vij, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3433 Nw 56th St, Suite C-40, Oklahoma City, OK 73112 Phone: 405-945-4741 Fax: 888-972-5320 | |
William G Phillips, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2224 Nw 50th St, Suite 276w, Oklahoma City, OK 73112 Phone: 405-858-2350 |