Dr Kelley L Clem, MD | |
4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | |
(614) 827-8700 | |
(614) 827-8701 |
Full Name | Dr Kelley L Clem |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 22 Years |
Location | 4605 Sawmill Rd, Upper Arlington, Ohio |
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 |
---|---|---|---|
1518973577 | NPI | - | NPPES |
2691332 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 35-084799 (Ohio) | Secondary |
207Q00000X | Family Medicine | 35-084799 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic One, Inc. | 3072598283 | 253 |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Orthopedic One, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548289697 PECOS PAC ID: 3072598283 Enrollment ID: O20040622000841 |
Mailing Address | Practice Location Address |
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Dr Kelley L Clem, MD Po Box 920120, Dallas, TX 75392-0120 Ph: () - | Dr Kelley L Clem, MD 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 Ph: (614) 827-8700 |
Thomas Baughman, MD, JD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4367 Mumford Dr, Upper Arlington, OH 43220 Phone: 614-451-4863 | |
Maria Barnett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 Guilford Rd, Upper Arlington, OH 43221 Phone: 614-869-0139 Fax: 614-869-0140 | |
Dr. Richard Edwin Early, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Leeds Rd, Upper Arlington, OH 43221 Phone: 614-488-3259 | |
J Thomas Broyles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3440 Riverside Dr, Upper Arlington, OH 43221 Phone: 614-459-0077 Fax: 614-459-3355 |