| Thomas A. Kelly D.O. P.C. | |
|
101 E Spicerville Hwy Eaton Rapids MI 48827-1919 | |
| (517) 663-2705 | |
| (517) 663-9470 |
| Full Name | Thomas A. Kelly D.O. P.C. |
|---|---|
| Speciality | General Practice |
| Location | 101 E Spicerville Hwy, Eaton Rapids, Michigan |
| Authorized Official Name and Position | Thomas a Kelly (PRESIDENT) |
| Authorized Official Contact | 5176632705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Kelly D.O. P.C. Po Box 417 Eaton Rapids MI 48827-0417 Ph: (517) 663-2705 | Thomas A. Kelly D.O. P.C. 101 E Spicerville Hwy Eaton Rapids MI 48827-1919 Ph: (517) 663-2705 |
| NPI Number | 1366689275 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Medicare PECOS PAC ID | 6305962648 |
|---|---|
| Medicare Enrollment ID | O20100924000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366689275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101008344 (Michigan) | Primary |
| Provider Name | Thomas a Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033444 PECOS PAC ID: 9931225273 Enrollment ID: I20100924000009 |
| Provider Name | Khristina M Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306435227 PECOS PAC ID: 5991110934 Enrollment ID: I20210224002152 |
Ahmedfiqi Transitions Mht LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 |
Ureche Transitions Mht LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 |
Age Management Mht LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 517-386-1367 |
Sandy Transitions Mht LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 Fax: 877-489-3949 |
Ashok K Gupta MD PLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827 Phone: 517-663-9469 Fax: 517-663-9470 |
Paul D Hankenson DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827 Phone: 517-663-3344 Fax: 517-663-1703 |