Dr Gerald Kelly, DO | |
181 N Belle Mead Rd, East Setauket, NY 11733-3495 | |
(111) 111-1111 | |
Not Available |
Full Name | Dr Gerald Kelly |
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Gender | Male |
Speciality | Family Medicine |
Location | 181 N Belle Mead Rd, East Setauket, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659308492 | NPI | - | NPPES |
5932405 | Other | NY | AETNA |
01654411 | Medicaid | NY | |
650571 | Other | NY | EMPIRE BC.BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 197099 (New York) | Primary |
Entity Name | Stony Brook Family And Preventive Medicine, University Faculty Practic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982659470 PECOS PAC ID: 7113816273 Enrollment ID: O20040315000903 |
Mailing Address | Practice Location Address |
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Dr Gerald Kelly, DO Po Box 1559, Stony Brook, NY 11790-0989 Ph: () - | Dr Gerald Kelly, DO 181 N Belle Mead Rd, East Setauket, NY 11733-3495 Ph: (111) 111-1111 |
Dr. Mark J Harary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. Melissa Lectura, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-4630 Fax: 631-444-4652 | |
Dr. Vivica Vollmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-5858 Fax: 631-444-1899 | |
Dr. Donna Meltzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-0624 | |
Dr. Susan Debevoise, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-0624 | |
Ana Maria G Blanco, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733 Phone: 631-444-5858 | |
Lisa Jue Wang, Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Deer Ln, East Setauket, NY 11733 Phone: 631-413-5430 |