| Susan M Kelly, MD | |
|
1600 Rockland Rd, Wilmington, DE 19803-3607 | |
| (302) 651-4200 | |
| (302) 651-4193 |
| Full Name | Susan M Kelly |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 1600 Rockland Rd, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922232701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MT194430 (Pennsylvania) | Secondary |
| 208D00000X | General Practice | C10010128 (Delaware) | Primary |
| Entity Name | The Nemours Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Kelly, MD P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Susan M Kelly, MD 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Dr. Dimitrios M Zerefos, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 5509 Kirkwood Hwy, Wilmington, DE 19808 Phone: 302-636-0936 Fax: 302-636-0940 | |
Kimberly Hoover, General Practice Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 Phone: 302-651-5874 Fax: 302-651-5954 | |
Dr. Anthony Joseph Piraino, M.D., PH.D. General Practice Medicare: Medicare Enrolled Practice Location: 1800 Concord Pike, Mail Stop B2b-023, Wilmington, DE 19897 Phone: 302-885-8456 Fax: 302-885-8456 | |
Dr. Horatio C Jones Iii, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 5311 Limestone Rd, Ste 201, Wilmington, DE 19808 Phone: 302-224-9109 Fax: 302-234-9042 | |
Jorge Jara Kudin, MD General Practice Medicare: Medicare Enrolled Practice Location: 3521 Silverside Rd Ste 1f, Wilmington, DE 19810 Phone: 302-478-2613 Fax: 302-421-9743 | |
Dr. Colleen R. Witherell, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Nemours Pediatrics Jessup St., 1602 Jessup Street, Wilmington, DE 19802 Phone: 302-576-5050 Fax: 302-576-5065 | |
Kate L Chaplinski, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3521 Silverside Rd, 1f Quillen Bldg, Wilmington, DE 19810 Phone: 302-478-7805 Fax: 302-478-8745 |