Jerry S Kelly, LCSW-R | |
3719 Union Rd, Cheektowaga, NY 14225-4249 | |
(716) 681-7394 | |
(716) 685-9087 |
Full Name | Jerry S Kelly |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 3719 Union Rd, Cheektowaga, New York |
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 |
---|---|---|---|
1962559278 | NPI | - | NPPES |
00030241501 | Other | NY | UNIVERA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00003961 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suburban Psychiatric Associates, Llp | 6709774318 | 35 |
Entity Name | Suburban Psychiatric Associates, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851331367 PECOS PAC ID: 6709774318 Enrollment ID: O20040305000880 |
Mailing Address | Practice Location Address |
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Jerry S Kelly, LCSW-R 525 Washington St, Buffalo, NY 14203-1711 Ph: (716) 856-4494 | Jerry S Kelly, LCSW-R 3719 Union Rd, Cheektowaga, NY 14225-4249 Ph: (716) 681-7394 |
Susan Strait, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Cayuga Rd, Cheektowaga, NY 14225 Phone: 716-819-3420 Fax: 716-819-3430 | |
Mr. John J. Flynn, LCSWR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225 Phone: 716-895-6700 Fax: 716-896-0318 | |
Mrs. Jennifer Marie Cervi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2563 Union Rd, Cheektowaga, NY 14227 Phone: 716-668-7622 Fax: 716-668-7623 | |
Courtney Wilson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2563 Union Rd Ste 800, Cheektowaga, NY 14227 Phone: 716-668-7622 | |
Christina Polino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225 Phone: 716-895-6700 | |
Brian Wojcik, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3901 Genesee St, Cheektowaga, NY 14225 Phone: 716-335-7015 | |
Lydia Moore, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 Cleveland Dr Ste 6, Cheektowaga, NY 14215 Phone: 716-220-7155 |