Gregory Kelly, MD | |
121 Medical Center Drive, Suite 2550, Brunswick, ME 04011 | |
(207) 373-1707 | |
(207) 373-1467 |
Full Name | Gregory Kelly |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 121 Medical Center Drive, Brunswick, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881801595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 009815 (Maine) | Secondary |
208600000X | Surgery | MD9815 (Maine) | Primary |
Entity Name | Mid Coast Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932164795 PECOS PAC ID: 5496739468 Enrollment ID: O20040623001212 |
Mailing Address | Practice Location Address |
---|---|
Gregory Kelly, MD 121 Medical Center Dr, Suite 2550, Brunswick, ME 04011-2653 Ph: (207) 373-1707 | Gregory Kelly, MD 121 Medical Center Drive, Suite 2550, Brunswick, ME 04011 Ph: (207) 373-1707 |
Stemple D Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 331 Maine St, Suite 23, Brunswick, ME 04011 Phone: 207-729-0134 Fax: 207-729-6626 | |
William W Curtis Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 121 Medical Center Dr, Suite 2550, Brunswick, ME 04011 Phone: 207-373-1707 Fax: 207-373-1467 | |
Dr. Mia H Marietta, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 Medical Center Drive, Suite 2550, Brunswick, ME 04011 Phone: 207-373-1707 Fax: 207-373-1467 | |
Nathaniel Hyde, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011 Phone: 207-373-1707 Fax: 207-373-1467 | |
Ira A Bird, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Medical Center Drive, Suite 2550, Brunswick, ME 04011 Phone: 207-373-1707 Fax: 207-373-1467 |