| Zane Penton Kelly, CRNP | |
|
115 Herren Hill Rd, Tallassee, AL 36078-1276 | |
| (334) 283-3477 | |
| (334) 283-4162 |
| Full Name | Zane Penton Kelly |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 115 Herren Hill Rd, Tallassee, Alabama |
| 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 |
|---|---|---|---|
| 1043787526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1-134397 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Inc | Tallassee, AL | Hospital |
| Elmore Community Hospital | Wetumpka, AL | Hospital |
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospital Inc | 2062408487 | 15 |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
| Entity Name | Guardian Biologics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20230929002218 |
| Entity Name | Regional Healthcare Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407587363 PECOS PAC ID: 8224412234 Enrollment ID: O20230929003277 |
| Mailing Address | Practice Location Address |
|---|---|
| Zane Penton Kelly, CRNP 115 Herren Hill Rd, Tallassee, AL 36078-1276 Ph: (334) 283-3477 | Zane Penton Kelly, CRNP 115 Herren Hill Rd, Tallassee, AL 36078-1276 Ph: (334) 283-3477 |
Dr. Irene Alam Bailey, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Dr. Anmol Ahuja, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 338-283-2542 | |
Thomas Daniel Holt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Michael W Peaden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 |