Larry W Kelly, MD | |
64 Business Center Dr, Pawleys Island, SC 29585-7963 | |
(843) 314-1314 | |
(843) 314-1307 |
Full Name | Larry W Kelly |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 64 Business Center Dr, Pawleys Island, 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 |
---|---|---|---|
1194727628 | NPI | - | NPPES |
T47633 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20643 (South Carolina) | Secondary |
208000000X | Pediatrics | 20643 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Georgetown | Georgetown, SC | Home health agency |
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgetown Internists And Pediatricians Inc | 6800860099 | 4 |
Georgetown Memorial Hospital | 8224942123 | 82 |
Waccamaw Community Hospital | 9133036932 | 82 |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | Georgetown Internists And Pediatricians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134296700 PECOS PAC ID: 6800860099 Enrollment ID: O20040824000167 |
Mailing Address | Practice Location Address |
---|---|
Larry W Kelly, MD 64 Business Center Dr, Pawleys Island, SC 29585-7963 Ph: (843) 314-1314 | Larry W Kelly, MD 64 Business Center Dr, Pawleys Island, SC 29585-7963 Ph: (843) 314-1314 |
Susan Walden-cohn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Alston Rd, Pawleys Island, SC 29585 Phone: 843-237-5398 Fax: 843-237-3561 | |
Michael Ratz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 64 Business Center Dr, Pawleys Island, SC 29585 Phone: 843-314-1314 Fax: 843-314-1307 |