Dr Kelli Marie Young, DO | |
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
(843) 402-1037 | |
(843) 402-1295 |
Full Name | Dr Kelli Marie Young |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033347083 | NPI | - | NPPES |
392319 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT013177 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 39231 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Roper Hospital | Charleston, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Broad River Physicians Group, Llc | 8123385143 | 59 |
Entity Name | Roper Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104983055 PECOS PAC ID: 8426958919 Enrollment ID: O20040114000413 |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770867442 PECOS PAC ID: 8325008717 Enrollment ID: O20041011000439 |
Entity Name | Roper St. Francis Mount Pleasant Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629499298 PECOS PAC ID: 1658567326 Enrollment ID: O20110207000316 |
Entity Name | Roper St Francis Hospital-berkeley Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679120828 PECOS PAC ID: 4981933256 Enrollment ID: O20191029001057 |
Entity Name | Broad River Physicians Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295443000 PECOS PAC ID: 8123385143 Enrollment ID: O20230103000298 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelli Marie Young, DO Po Box 602645, Charlotte, NC 28260-2645 Ph: (843) 789-1620 | Dr Kelli Marie Young, DO 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1037 |
Jordan James Mccarthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave # Msc300, Charleston, SC 29425 Phone: 843-876-8023 | |
Rossen Ivanov Kirkov, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9330 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-797-7000 | |
Dr. Terry Kowalenko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Steven H Saef, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Barton Winton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Gary L. Rose, DNP, FNP, ENP, APRN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407 Phone: 843-693-8385 |