Gene Kelly, MD | |
2901 N 4th St, Longview, TX 75605-5128 | |
(903) 232-3675 | |
Not Available |
Full Name | Gene Kelly |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2901 N 4th St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114069895 | NPI | - | NPPES |
147381101 | Medicaid | TX | |
147381103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L1907 (Texas) | Primary |
Entity Name | Acs Primary Care Physicians Southwest Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Mailing Address | Practice Location Address |
---|---|
Gene Kelly, MD Po Box 847176, Dallas, TX 75284-7176 Ph: (903) 237-1800 | Gene Kelly, MD 2901 N 4th St, Longview, TX 75605-5128 Ph: (903) 232-3675 |
Jonathan J Kral, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Rhiana Dawn Ireland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Emergency Department, Longview, TX 75605 Phone: 903-232-3675 Fax: 903-232-8542 | |
Matthew Porter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2445 Fax: 903-315-5383 | |
Stanley Upchurch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Faber A White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Nicole Sneed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2020 |