Dr Gregory Ivan Kelts, MD | |
3320 Oakwell Ct, San Antonio, TX 78218-3128 | |
(210) 829-5180 | |
(210) 829-5030 |
Full Name | Dr Gregory Ivan Kelts |
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Gender | Male |
Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
Location | 3320 Oakwell Ct, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144529066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | U1311 (Texas) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | U1311 (Texas) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Dr Gregory Ivan Kelts, MD 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (443) 481-8687 | Dr Gregory Ivan Kelts, MD 3320 Oakwell Ct, San Antonio, TX 78218-3128 Ph: (210) 829-5180 |
Dr. Wasyl Szeremeta, MD MBA Otolaryngology Medicare: Medicare Enrolled Practice Location: 16723 Huebner Rd, San Antonio, TX 78248 Phone: 210-644-3600 | |
Mark Boston, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 333 N Santa Rosa St, San Antonio, TX 78207 Phone: 210-704-4039 | |
Charles P Biediger, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 19026 Stone Oak Pkwy, Suite 110, San Antonio, TX 78258 Phone: 210-545-0404 Fax: 210-614-1003 | |
Dr. Nici Eddy Bothwell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300 | |
Nathan Wayne Hales, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229 Phone: 210-616-0283 Fax: 210-616-0071 | |
Dr. Viet Hoai Pham, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4775 Hamilton Wolfe #1, Ear, Nose, And Throat Clinics Of San Antonio, San Antonio, TX 78229 Phone: 210-258-5359 | |
Mr. Andamo A Guillaume, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Drive, Suite 618, San Antonio, TX 78217 Phone: 210-614-5600 Fax: 210-614-8963 |