Dr Timothy J Kelly, MD | |
200 S Herlong Ave, Suite A, Rock Hill, SC 29732-3399 | |
(803) 328-1864 | |
(803) 328-1865 |
Full Name | Dr Timothy J Kelly |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 37 Years |
Location | 200 S Herlong Ave, Rock Hill, South 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 |
---|---|---|---|
1689731085 | NPI | - | NPPES |
1506232 | Other | COVENTRY | |
302746 | Medicaid | SC | |
AA21828218 | Other | SC | MEDICARE |
P01505878 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 30274 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Medical Center | Rock hill, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 148 |
Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 148 |
Entity Name | Charlotte Eye Ear Nose & Throat Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043287469 PECOS PAC ID: 0446155451 Enrollment ID: O20040519000318 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy J Kelly, MD 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Dr Timothy J Kelly, MD 200 S Herlong Ave, Suite A, Rock Hill, SC 29732-3399 Ph: (803) 328-1864 |
Dr. Chad S Kessler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 S Herlong Ave, Suite A, Rock Hill, SC 29732 Phone: 803-328-1864 Fax: 803-328-1865 | |
Neela Rao, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 S Herlong Ave Ste A, Rock Hill, SC 29732 Phone: 803-328-1864 | |
Dr. Gregory Stokes Parsons, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 S Herlong Ave Ste A, Rock Hill, SC 29732 Phone: 803-328-1864 Fax: 803-328-1865 | |
Dr. Mark Jeffrey Abrams, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 S Herlong Ave, Suite A, Rock Hill, SC 29732 Phone: 803-328-1864 Fax: 803-328-1865 | |
Brian Claud Wilson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 197 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-366-9000 Fax: 803-366-9200 |