Dr John Patrick Washington Kelly, MD, DMD is a
Oral & Maxillofacial Surgery based in New Haven, Connecticut. Dr John Patrick Washington Kelly is licensed to practice in Connecticut (license number 038903) and his current practice location is
1450 Chapel St, Mob-2, New Haven, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 789-3156.
NPI number for Dr John Patrick Washington Kelly is 1386685022 and his current mailing address is 1450 Chapel St, Mob-2, New Haven, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386685022.
Healthcare Provider's Profile
| Full Name | Dr John Patrick Washington Kelly |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1450 Chapel St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386685022
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 10/12/2007
Medical Identifiers
Medical identifiers for Dr John Patrick Washington Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386685022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 008783 (Connecticut) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 038903 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Patrick Washington Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Patrick Washington Kelly, MD, DMD
1450 Chapel St, Mob-2,
New Haven, CT 06511-4405
Ph: (203) 789-3156 | Dr John Patrick Washington Kelly, MD, DMD
1450 Chapel St, Mob-2,
New Haven, CT 06511-4405
Ph: (203) 789-3156 |
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