Dr James Thomas Kelly, DO | |
70 N Country Rd, Suite 105, Port Jefferson, NY 11777-2161 | |
(631) 642-0609 | |
(631) 642-0588 |
Full Name | Dr James Thomas Kelly |
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Gender | Male |
Speciality | Family Medicine |
Location | 70 N Country Rd, Port Jefferson, 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 |
---|---|---|---|
1508943317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 173786 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Dr James Thomas Kelly, DO 70 N Country Rd, Suite 105, Port Jefferson, NY 11777-2161 Ph: (631) 642-0609 | Dr James Thomas Kelly, DO 70 N Country Rd, Suite 105, Port Jefferson, NY 11777-2161 Ph: (631) 642-0609 |
Michelle Marilyn Craddock, ANP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, NY 11777 Phone: 631-642-0609 Fax: 631-642-0588 | |
Dr. Erika M Jurasits, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 N Country Rd Ste 2, Port Jefferson, NY 11777 Phone: 631-509-6888 Fax: 631-509-6895 | |
Dr. Francis M. Francin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 680 Main St, Suite2, Port Jefferson, NY 11777 Phone: 631-474-8626 Fax: 531-474-8626 | |
Dr. Rhonda S Burmeister, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777 Phone: 631-642-0609 Fax: 631-642-0588 | |
Dr. Jessica Lynn Blydenburgh, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Port Jefferson, NY 11777 Phone: 631-736-1311 Fax: 631-736-1312 | |
Dr. Lewis Lee Bateman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 Oakland Ave Suite 205, Mather Primary Care, Port Jefferson, NY 11777 Phone: 631-686-2523 Fax: 631-686-2525 |