Dr Sean R Kelly, MD | |
4747 Main St, Bridgeport, CT 06606-1804 | |
(203) 372-0649 | |
(203) 373-0376 |
Full Name | Dr Sean R Kelly |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 28 Years |
Location | 4747 Main St, Bridgeport, Connecticut |
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 |
---|---|---|---|
1083685705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 045878 (Connecticut) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 045878 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Vincent's Medical Center | Bridgeport, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
Rehabilitation Associates Inc | 8022905322 | 285 |
Entity Name | Orthocare Specialists ,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164697645 PECOS PAC ID: 8426089186 Enrollment ID: O20050823000670 |
Entity Name | St. Vincent's Multispecialty Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean R Kelly, MD 4747 Main St, Bridgeport, CT 06606-1804 Ph: (203) 372-0649 | Dr Sean R Kelly, MD 4747 Main St, Bridgeport, CT 06606-1804 Ph: (203) 372-0649 |
Dr. Bindu Rajeev Chennattu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3084 Main St, Bridgeport, CT 06606 Phone: 203-371-0433 Fax: 203-549-0919 | |
Jane Silva, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-925-4201 Fax: 203-925-4206 | |
Susan Carol Carbine, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, Bridgeport, CT 06610 Phone: 203-384-7000 | |
Amber Bjerke, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, Bridgeport, CT 06604 Phone: 203-365-6443 | |
David L Seligman, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 267 Grant Street, Bridgeport, CT 06610 Phone: 203-384-3000 Fax: 203-384-4597 | |
Jennifer Qubick, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, Bridgeport, CT 06604 Phone: 203-365-6443 |