| William Kelley, MD | |
|
100 Hospital Dr, Anesthesia Department, Bennington, VT 05201-5004 | |
| (802) 447-5590 | |
| (802) 440-6099 |
| Full Name | William Kelley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 100 Hospital Dr, Bennington, Vermont |
| 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 |
|---|---|---|---|
| 1194772558 | NPI | - | NPPES |
| 1009703 | Medicaid | VT | |
| P00048870 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 15758 (New Hampshire) | Secondary |
| 207L00000X | Anesthesiology | 0420010592 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amoskeag Anesthesia Pllc | 1759375983 | 158 |
| Entity Name | Anesthesia Care Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629074224 PECOS PAC ID: 5395646178 Enrollment ID: O20040115000446 |
| Entity Name | Anesthesia Associates Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881791150 PECOS PAC ID: 3375532435 Enrollment ID: O20040512000620 |
| Entity Name | Amoskeag Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104883511 PECOS PAC ID: 1759375983 Enrollment ID: O20040513001385 |
| Entity Name | Icon Anesthesia Services Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20210805001349 |
| Entity Name | Catholic Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1003692112 PECOS PAC ID: 6103897129 Enrollment ID: O20231122002805 |
| Entity Name | Granite State Anesthesia Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821815010 PECOS PAC ID: 6709315708 Enrollment ID: O20250121001023 |
| Mailing Address | Practice Location Address |
|---|---|
| William Kelley, MD Po Box 252, Lewiston, ME 04243-0252 Ph: (800) 720-1664 | William Kelley, MD 100 Hospital Dr, Anesthesia Department, Bennington, VT 05201-5004 Ph: (802) 447-5590 |
Anthony B Fazzone, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 100 Hospital Dr., Southwestern Vermont Health Care, Bennington, VT 05201 Phone: 802-442-6361 |