Gail Marie Kelly, MD | |
102 W. Water Street, Suite 1, Nemours Dupont Pediatrics, Dover, Dover, DE 19904-6750 | |
(302) 651-6212 | |
(302) 651-4945 |
Full Name | Gail Marie Kelly |
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Gender | Female |
Speciality | Pediatrics |
Location | 102 W. Water Street, Suite 1, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740484559 | NPI | - | NPPES |
C10010301 | Other | DE | STATE LICENSE |
278341000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME98073 (Florida) | Secondary |
208000000X | Pediatrics | C10010301 (Delaware) | Primary |
Entity Name | San Carlos Apache Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
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Gail Marie Kelly, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Gail Marie Kelly, MD 102 W. Water Street, Suite 1, Nemours Dupont Pediatrics, Dover, Dover, DE 19904-6750 Ph: (302) 651-6212 |
Dr. Osama Afkar Hussein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 S Dupont Hwy, Suite 1, Dover, DE 19901 Phone: 302-264-9691 Fax: 302-264-9920 | |
Dr. Karyl T. Rattay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4818 Fax: 302-739-6659 | |
Dr. Kevin P. Sheahan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Nemours Pediatrics Dover, 102 W. Water Street Suite 1, Dover, DE 19904 Phone: 302-672-5650 Fax: 302-672-5655 | |
Mamoon Mahmoud, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 740 S New St, Dover, DE 19904 Phone: 302-674-0222 Fax: 302-674-0200 | |
Dr. Renee J Grob, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125-1 Greentree Dr, Dover, DE 19904 Phone: 302-674-2788 Fax: 302-678-1765 | |
Swagata Mitra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 863 Buttner Pl Ste 103, Dover, DE 19904 Phone: 302-734-3331 | |
Dr. Julia M Pillsbury, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125 Greentree Dr Ste 1, Dover, DE 19904 Phone: 302-264-9386 Fax: 302-883-2588 |