Kelly C O'neal, MD | |
214 14th Ave Sw, Sidney, MT 59270-3521 | |
(406) 488-2100 | |
(406) 488-2125 |
Full Name | Kelly C O'neal |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 214 14th Ave Sw, Sidney, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629156427 | NPI | - | NPPES |
40305 | Other | MT | STATE LICENSE |
00G521530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G52153 (California) | Primary |
Entity Name | Northern Inyo Healthcare District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20040210000652 |
Entity Name | Northern Inyo Healthcare District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20100723000444 |
Mailing Address | Practice Location Address |
---|---|
Kelly C O'neal, MD 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (406) 488-2100 | Kelly C O'neal, MD 214 14th Ave Sw, Sidney, MT 59270-3521 Ph: (406) 488-2100 |
Dr. Peter Gerard Deveaux, M.D.. Surgery Medicare: May Accept Medicare Assignments Practice Location: 216 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2278 Fax: 406-488-2523 | |
John Edward Carey, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 Fax: 406-488-2261 | |
Deborah G Harris, D.O. Surgery Medicare: May Accept Medicare Assignments Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2100 Fax: 406-488-2261 | |
Edward Patrick Bergin, MD Surgery Medicare: Medicare Enrolled Practice Location: 214 14th Ave Sw, Suite 105, Sidney, MT 59270 Phone: 406-488-2278 Fax: 406-488-2523 |