Dr Thomas B Kelso Ii, MD | |
902 N Howe St, Southport, NC 28461-3038 | |
(910) 457-4789 | |
(910) 579-4589 |
Full Name | Dr Thomas B Kelso Ii |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 33 Years |
Location | 902 N Howe St, Southport, North Carolina |
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 |
---|---|---|---|
1265570469 | NPI | - | NPPES |
204883003 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 120032 (Missouri) | Secondary |
207X00000X | Orthopaedic Surgery | 200300626 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
Novant Health Brunswick Medical Center | Supply, NC | Hospital |
New Hanover Regional Medical Center | Wilmington, NC | Hospital |
Mcleod Loris Hospital | Loris, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergeortho Pa | 0749188894 | 611 |
Entity Name | Emergeortho Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas B Kelso Ii, MD 902 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-4789 | Dr Thomas B Kelso Ii, MD 902 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-4789 |
Michael M Marushack, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Matthew John Landfried, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1513 N Howe St, Southport, NC 28461 Phone: 910-454-8030 | |
Mark D Foster, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Eric Jon Lescault, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 |