Brent L Kelley, MD | |
15954 Rivers Edge Dr, Hayward, WI 54843-7800 | |
(715) 634-2541 | |
(715) 634-5740 |
Full Name | Brent L Kelley |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 15954 Rivers Edge Dr, Hayward, Wisconsin |
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 |
---|---|---|---|
1750306288 | NPI | - | NPPES |
30086600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39957 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Transitions Home Health Of Central Wisconsin | Stevens point, WI | Home health agency |
Regional Hospice Services | Ashland, WI | Hospice |
Hayward Area Memorial Hospital | Hayward, WI | Hospital |
Hayward Health Services | Hayward, WI | Nursing home |
Water's Edge | Hayward, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Lakes Community Health Center Inc | 0840366654 | 67 |
Entity Name | The Lakes Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Brent L Kelley, MD 15735 W Us Highway 63, Hayward, WI 54843-6475 Ph: (888) 834-4551 | Brent L Kelley, MD 15954 Rivers Edge Dr, Hayward, WI 54843-7800 Ph: (715) 634-2541 |
Matthew James Luedke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Vicentiu Andrei, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 | |
Katherine Matthews Eichten, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Sabrina Ann Dunlap, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11040 N State Rd 77, Hayward, WI 54843 Phone: 715-934-4910 Fax: 715-934-4620 | |
Harry Douglas Malcolm, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5100 Fax: 715-634-6107 | |
John Robert Mckevett, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Dr. Mary Cord Mason, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5101 Fax: 715-634-1021 |