| Michael D Kelly, CRNA | |
|
250 S 21st St, Easton, PA 18042-3851 | |
| (610) 250-4303 | |
| (610) 250-4846 |
| Full Name | Michael D Kelly |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 250 S 21st St, Easton, Pennsylvania |
| 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 |
|---|---|---|---|
| 1851380471 | NPI | - | NPPES |
| 075242 | Other | PA | AANA ID |
| P00678819 | Other | PA | RAILROAD MEDICARE |
| 26NR08257400 | Other | NJ | REGISTERED PROF NURSE |
| 101495676 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN316546L (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00335100 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Einstein Medical Center Montgomery | East norriton, PA | Hospital |
| Albert Einstein Medical Center | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Einstein Practice Plan Inc | 2769395896 | 655 |
| Rgal Anesthesia Services Llc | 7517130602 | 119 |
| Entity Name | Einstein Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
| Entity Name | Rgal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
| Entity Name | Anthracite Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366168353 PECOS PAC ID: 0941672489 Enrollment ID: O20230210000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Kelly, CRNA Po Box 650782, Dallas, TX 75265-0782 Ph: (215) 442-5085 | Michael D Kelly, CRNA 250 S 21st St, Easton, PA 18042-3851 Ph: (610) 250-4303 |
Guishu Fang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 Fax: 610-250-4804 | |
Joseph Demchur, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 215-442-5085 Fax: 877-329-2370 | |
Mrs. Irina Dash, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4000 | |
Anne Bassler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 | |
Deborah Ann Mustin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4300 Fax: 610-250-4804 | |
Lolock N Nyangweso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4075 Fax: 215-672-4264 | |
Gordon B Grier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 Fax: 610-250-4846 |