Karl David Kelley, MD | |
310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | |
(270) 659-5555 | |
Not Available |
Full Name | Karl David Kelley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 37 Years |
Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
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 |
---|---|---|---|
1972543064 | NPI | - | NPPES |
3897033 | Other | TN | BLUE CROSS |
10021964 | Other | TN | OMNICARE TENNCARE |
3897036 | Medicaid | TN | |
P00357334 | Other | TN | MEDICARE RAILROAD |
P00241188 | Other | TN | MEDICARE RAILROAD |
3809694 | Medicaid | TN | |
4086997 | Other | TN | BLUE CROSS |
4124223 | Other | TN | BLUE CROSS |
50007338 | Other | KY | PASSPORT HEALTH |
41090 | Other | TN | TLC TENNCARE |
4124510 | Other | TN | BLUE CROSS |
64086663 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 38748 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | 46833 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
T J Samson Community Hospital | Glasgow, KY | Hospital |
Alliancehealth Durant | Durant, OK | Hospital |
Integris Marshall County Medical Center | Madill, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
---|---|
Karl David Kelley, MD 4059 Keith Rd, Springfield, TN 37172-6971 Ph: (615) 384-6222 | Karl David Kelley, MD 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5555 |
Mary Eleanor Harkleroad, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 S L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-651-7796 Fax: 270-651-7796 | |
Elizabeth L Combs Royse, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-651-1111 Fax: 270-659-5852 | |
Dr. Kartik Katragadda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5555 | |
Zachary Ethan Gale, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 N Race St, Glasgow, KY 42141 Phone: 270-651-4865 | |
Kylend Kiser, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Dillon Pender, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5555 | |
Mohammed Asaad Anwer, MD, MBBS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 N Race St, Glasgow, KY 42141 Phone: 270-651-4865 |