Dr Michael Kelly, MD | |
7733 E Jefferson Ave, Detroit, MI 48214-3707 | |
(313) 499-3000 | |
Not Available |
Full Name | Dr Michael Kelly |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 34 Years |
Location | 7733 E Jefferson Ave, Detroit, Michigan |
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 |
---|---|---|---|
1912981010 | NPI | - | NPPES |
BLUE CROSS | Other | MI | 340H275000 |
COMMERICAL | Other | MI | 382032989 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301065795 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Langston Walker And Associates, P.c. | 1456443670 | 5 |
Entity Name | Langston Walker & Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376527846 PECOS PAC ID: 1456443670 Enrollment ID: O20070817000306 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Kelly, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (313) 499-3000 | Dr Michael Kelly, MD 7733 E Jefferson Ave, Detroit, MI 48214-3707 Ph: (313) 499-3000 |
Mohammad Raoufi, MD Pathology Medicare: Medicare Enrolled Practice Location: Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 Phone: 313-916-4027 | |
Eleftherios Vouyoukas, MD, MSC Pathology Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Nazila Azordegan, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Koichi Maeda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Daniel P Snower, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 Fax: 313-881-4727 | |
Fulvio Lonardo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201 Phone: 313-745-8555 Fax: 313-745-9299 | |
Mousa Ali Al-abbadi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555 |