Dr Ralph Zane Kelley, DO | |
77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | |
(239) 980-4302 | |
(928) 773-2598 |
Full Name | Dr Ralph Zane Kelley |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 77 W Forest Ave Ste 206, Flagstaff, Arizona |
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 |
---|---|---|---|
1538369384 | NPI | - | NPPES |
1538369384 | Other | AZ | UHC |
540447 | Medicaid | AZ | |
1538369384 | Other | AZ | BCBS |
3218514 | Other | AZ | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DO1481 (Nevada) | Secondary |
208600000X | Surgery | 005754 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
Flagstaff Medical Center | Flagstaff, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuba City Regional Health Care Corporation | 4284542531 | 126 |
Flagstaff Surgical Associates Pa | 6901880210 | 25 |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
Mailing Address | Practice Location Address |
---|---|
Dr Ralph Zane Kelley, DO Po Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Dr Ralph Zane Kelley, DO 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 Ph: (239) 980-4302 |
Daniel E Wesche, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Adam Keith Boettcher, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001 Phone: 928-774-2300 | |
Nicole Renee Sydow, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001 Phone: 928-773-2150 | |
Kate Preston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Dr. Douglas John Carlon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2332 Fax: 623-524-8959 | |
Eric Davis Kendle, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2500 Fax: 928-773-2502 | |
Robert A Berger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 |