Manuel R Kelley, MD | |
1101 Tennessee St, Pine Bluff, AR 71601-5801 | |
(870) 543-2380 | |
(870) 535-4716 |
Full Name | Manuel R Kelley |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 1101 Tennessee St, Pine Bluff, Arkansas |
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 |
---|---|---|---|
1083670830 | NPI | - | NPPES |
1159400000 | Other | AR | QUAL CHOICE |
52821 | Other | AR | MEDICARE |
0120403 | Other | AR | UNITED HEALTH CARE |
103173001 | Medicaid | AR | |
C68619 | Other | AR | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-5328 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Comprehensive Care System, Inc | 5193634509 | 9 |
Entity Name | Jefferson Comprehensive Care System, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154386597 PECOS PAC ID: 5193634509 Enrollment ID: O20040603001458 |
Mailing Address | Practice Location Address |
---|---|
Manuel R Kelley, MD Po Box 1285, Pine Bluff, AR 71613-1285 Ph: (870) 543-2380 | Manuel R Kelley, MD 1101 Tennessee St, Pine Bluff, AR 71601-5801 Ph: (870) 543-2380 |
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516 | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594 | |
Samuel Henderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 | |
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009 | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Dr. Tracey Albertha Lockhart Wright, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-540-6000 Fax: 870-541-6010 |