Brian D Kelly, DO | |
777 Avenue H, Powell, WY 82435-2260 | |
(307) 754-2267 | |
(307) 754-7217 |
Full Name | Brian D Kelly |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 41 Years |
Location | 777 Avenue H, Powell, Wyoming |
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 |
---|---|---|---|
1811985112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | OS0005851 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Powell Valley Hospital | Powell, WY | Hospital |
South Big Horn County Hospital | Basin, WY | Hospital |
North Big Horn Hospital District | Lovell, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Powell Valley Health Care Inc | 5092798561 | 27 |
Entity Name | Powell Valley Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
Mailing Address | Practice Location Address |
---|---|
Brian D Kelly, DO 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 | Brian D Kelly, DO 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 |
Brittany Christensen, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 | |
Michael D Tracy, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Carletta Collins, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Aida R Polson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7730 | |
Juanita Sapp, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 128 N Bent St, Powell, WY 82435 Phone: 307-765-4107 Fax: 307-764-1892 |