Dr Thomas Alan Kelly, DO | |
101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | |
(517) 663-2705 | |
Not Available |
Full Name | Dr Thomas Alan Kelly |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 43 Years |
Location | 101 E Spicerville Hwy, Eaton Rapids, 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 |
---|---|---|---|
1629033444 | NPI | - | NPPES |
0152330085 | Other | MI | BLUECROSS BLUE SHIELD PIN |
0170444 | Other | MI | PHP FAMIL CARE |
0100444 | Other | MI | PHP |
C6121 | Other | MI | MCARE |
M034742 | Other | MI | CHAMPUS |
3319192 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101008344 (Michigan) | Secondary |
207Q00000X | Family Medicine | 5101008344 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great Lakes Caring | Jackson, MI | Home health agency |
Eaton Rapids Medical Center | Eaton rapids, MI | Hospital |
Edward W Sparrow Hospital | Lansing, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thomas A. Kelly D.o. P.c. | 6305962648 | 2 |
Entity Name | Eaton Rapids Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588810709 PECOS PAC ID: 5991692634 Enrollment ID: O20040301000307 |
Entity Name | Eaton Rapids Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1417044660 PECOS PAC ID: 5991692634 Enrollment ID: O20070223000658 |
Entity Name | Thomas A. Kelly D.o. P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366689275 PECOS PAC ID: 6305962648 Enrollment ID: O20100924000005 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Alan Kelly, DO 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 Ph: (517) 663-2705 | Dr Thomas Alan Kelly, DO 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 Ph: (517) 663-2705 |
Amy Blaising Wallace, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-4809 | |
Dr. Paul D Hankenson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kyle St, Eaton Rapids, MI 48827 Phone: 517-663-3344 Fax: 517-663-1703 | |
Dr. Jonathan Paul Wulff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827 Phone: 517-663-4821 Fax: 517-663-5650 |