Dr Michael A Kelley, MD | |
3131 S Main St, Moultrie, GA 31768-6925 | |
(229) 502-9782 | |
(229) 891-9567 |
Full Name | Dr Michael A Kelley |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 30 Years |
Location | 3131 S Main St, Moultrie, Georgia |
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 |
---|---|---|---|
1104984871 | NPI | - | NPPES |
009933634 | Medicaid | AL | |
051531688 | Other | AL | BLUE CROSS PROVIDER NUMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 050193 (Georgia) | Primary |
208M00000X | Hospitalist | 050193 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Phoebe Home Health | Albany, GA | Home health agency |
Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colquitt Regional Hospitalists, Llc | 0749568780 | 18 |
Phoebe Physician Group Inc | 8426112350 | 351 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Colquitt Regional Hospitalists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851840912 PECOS PAC ID: 0749568780 Enrollment ID: O20161026002551 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Kelley, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 502-9782 | Dr Michael A Kelley, MD 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 502-9782 |
Lisa Ann Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 Fax: 928-338-5508 | |
Dr. Woodwin Michael Weeks, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 | |
Dr. Arthur Clifford Marsh, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St, Moultrie, GA 31768 Phone: 229-985-1334 Fax: 229-891-2508 | |
Dr. Gary Wade Swartzentruber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Laurel Ct, Moultrie, GA 31768 Phone: 229-891-9016 | |
Leo Enrique Larios, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9769 | |
Michael Magat, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 Fax: 229-985-3018 |