Dr Brandon Reyes Kelly, MD | |
3345 Potomac Way, Idaho Falls, ID 83404-4978 | |
(208) 552-6210 | |
(208) 552-2027 |
Full Name | Dr Brandon Reyes Kelly |
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Gender | Male |
Speciality | Neurosurgery |
Experience | 20 Years |
Location | 3345 Potomac Way, Idaho Falls, Idaho |
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 |
---|---|---|---|
1295942142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | A11613 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eden Home Health | Ammon, ID | Home health agency |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Steele Memorial Medical Center | Salmon, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Physician Services Inc | 2163430943 | 18 |
Entity Name | Idaho Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902841893 PECOS PAC ID: 2163430943 Enrollment ID: O20070208000680 |
Entity Name | Idaho Neurosurgery & Spine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750787297 PECOS PAC ID: 8325363773 Enrollment ID: O20150206001136 |
Mailing Address | Practice Location Address |
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Dr Brandon Reyes Kelly, MD Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | Dr Brandon Reyes Kelly, MD 3345 Potomac Way, Idaho Falls, ID 83404-4978 Ph: (208) 552-6210 |
Dr. Brent H. Greenwald, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3155 Channing Way, Suite B, Idaho Falls, ID 83404 Phone: 208-535-4800 Fax: 208-535-4807 | |
Abraham Schlauderaff, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3345 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7572 | |
Dr. John D Dickinson, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2353 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-4181 Fax: 208-542-4182 | |
James Lee Cook, PA-C Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1975 Martha Ave, Ste A, Idaho Falls, ID 83404 Phone: 208-522-6930 Fax: 208-523-5342 | |
Clark Hunter Allen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3345 Potomac Way, Idaho Falls, ID 83404 Phone: 208-552-6210 Fax: 208-552-2027 | |
Dr. Robert Lee Cach, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404 Phone: 208-542-1050 Fax: 208-542-1150 |