Dr Douglas A Kelly, MD | |
1 Mercado St Ste 100, Durango, CO 81301-7306 | |
(970) 385-4746 | |
(970) 259-5787 |
Full Name | Dr Douglas A Kelly |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 33 Years |
Location | 1 Mercado St Ste 100, Durango, Colorado |
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 |
---|---|---|---|
1497716781 | NPI | - | NPPES |
9000175543 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 19729 (Oklahoma) | Secondary |
2085R0001X | Radiology - Radiation Oncology | DR0062949 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Eureka, CA | Hospital |
Kingman Regional Medical Center | Kingman, AZ | Hospital |
Western Regional Medical Center | Goodyear, AZ | Hospital |
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ctca Physicians Group Of Arizona Llc | 2264593474 | 110 |
Kingman Healthcare Inc | 6901791367 | 170 |
Eureka Radiation Oncology Consultants | 7719365618 | 4 |
Entity Name | Kingman Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
Entity Name | Ctca Physicians Group Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas A Kelly, MD Po Box 911057, Denver, CO 80291-1057 Ph: (800) 953-0104 | Dr Douglas A Kelly, MD 1 Mercado St Ste 100, Durango, CO 81301-7306 Ph: (970) 385-4746 |
Jonathan H Delacey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2286 | |
Dr. Brock Baker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 100cc, Durango, CO 81301 Phone: 970-385-4746 Fax: 970-259-5787 | |
Jennifer Blumoff Reed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 106 Clear Creek Loop, Durango, CO 81301 Phone: 970-382-9228 | |
Patrick Messerli, MD Radiology Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2286 | |
Jonathan Clark, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Suite 100, Durango, CO 81301 Phone: 970-385-4746 Fax: 970-259-5787 | |
Dr. Jay C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-259-2525 |