Dr Brad Richard Kelly, DO | |
1000 Pine St W, Varnville, SC 29944-4750 | |
(803) 943-7702 | |
Not Available |
Full Name | Dr Brad Richard Kelly |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1000 Pine St W, Varnville, South Carolina |
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 |
---|---|---|---|
1609284223 | NPI | - | NPPES |
393596 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R3239 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 58.005341 (Ohio) | Secondary |
207Q00000X | Family Medicine | 39359 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Bluffton | Bluffton, SC | Home health agency |
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Hampton Regional Medical Center | Varnville, SC | Hospital |
Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaufort County Memorial Hospital | 7810809365 | 106 |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457922007 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 | Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 |
Dr. Malcolm H Horry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-7612 Fax: 803-943-7613 |