| Kelly Connelly, | |
|
528 Delaware Ave, Palmerton, PA 18071-1911 | |
| (610) 900-4950 | |
| Not Available |
| Full Name | Kelly Connelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 528 Delaware Ave, Palmerton, Pennsylvania |
| 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 |
|---|---|---|---|
| 1891333258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP021237 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Wake Forest Emergency Providers | 7012819816 | 310 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Iredell Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Connelly, 8695 Interchange Rd, Lehighton, PA 18235-5613 Ph: (570) 406-6294 | Kelly Connelly, 528 Delaware Ave, Palmerton, PA 18071-1911 Ph: (610) 900-4950 |
Emily Otto, CRNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Delaware Ave, Palmerton, PA 18071 Phone: 484-426-2001 Fax: 484-426-2004 | |
Karen Burke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Lafayette Ave, Palmerton, PA 18071 Phone: 610-826-1340 | |
Britta Hansen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 Delaware Ave, Palmerton, PA 18071 Phone: 484-822-6324 Fax: 866-230-8028 | |
Rhyan A Goldsmith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 614 Delaware Avenue, Palmerton, PA 18071 Phone: 484-822-5324 Fax: 833-230-8028 | |
Melinda Wentz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Lafayette Ave, Palmerton, PA 18071 Phone: 484-822-5320 | |
Susan Marie Mee-crimmins, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 528 Delaware Ave, Palmerton, PA 18071 Phone: 610-900-4950 |