Jason Kelly, MD | |
101 E Wood St, Spartanburg, SC 29303-3040 | |
(864) 560-6522 | |
(888) 972-8644 |
Full Name | Jason Kelly |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 101 E Wood St, Spartanburg, 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 |
---|---|---|---|
1073543831 | NPI | - | NPPES |
296940 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 29694 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Cherokee Medical Center | Gaffney, SC | Hospital |
Union Medical Center | Union, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Mailing Address | Practice Location Address |
---|---|
Jason Kelly, MD Po Box 678207, Dallas, TX 75267-8207 Ph: (800) 841-4236 | Jason Kelly, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6522 |
Patricia C. Griffin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6917 Fax: 864-560-6017 | |
David Pelino, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Michael J Enright, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Kelan J. Brown, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Wood Street, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Richard J Harp, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Dr. Christopher Matthew Swift, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 865-385-1316 |