Mr John P Kelly, MD | |
1535 Medical Pkwy, Ste B, Carson City, NV 89703-4654 | |
(775) 445-7960 | |
(775) 883-3395 |
Full Name | Mr John P Kelly |
---|---|
Gender | Male |
Speciality | Medical Oncology |
Experience | 46 Years |
Location | 1535 Medical Pkwy, Carson City, Nevada |
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 |
---|---|---|---|
1477512234 | NPI | - | NPPES |
6376 | Other | NV | MEDICAL LICENSE |
002013294 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 6376 (Nevada) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | NV6376 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Carson Valley Medical Center | Gardnerville, NV | Hospital |
Banner Churchill Community Hospital | Fallon, NV | Hospital |
South Lyon Medical Center | Yerington, NV | Hospital |
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carson Tahoe Physician Clinics | 1153479027 | 97 |
Entity Name | Carson Tahoe Physician Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023265717 PECOS PAC ID: 1153479027 Enrollment ID: O20090502000046 |
Mailing Address | Practice Location Address |
---|---|
Mr John P Kelly, MD Po Box 4540, Carson City, NV 89702-4540 Ph: (775) 882-0430 | Mr John P Kelly, MD 1535 Medical Pkwy, Ste B, Carson City, NV 89703-4654 Ph: (775) 445-7960 |
Susan J Maturlo, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St, Suite 120, Carson City, NV 89706 Phone: 775-445-7170 Fax: 775-687-8457 | |
Dr. David M Baker, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1470 Medical Pkwy, Suite 160, Carson City, NV 89703 Phone: 775-445-7650 Fax: 775-687-8457 | |
Dr. Stephen Michael Tann, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1470 Medical Parkway, Suite 160, Carson City, NV 89703 Phone: 775-445-7650 Fax: 775-882-4206 | |
Dr. Larry Angelo Pappas, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8000 | |
Dr. Christopher J Dipaolo, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1470 Medical Pkwy, Suite 160, Carson City, NV 89703 Phone: 775-445-7650 Fax: 775-687-8457 | |
Dr. Nael Neil Aboul-hosn, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1470 Medical Pkwy Ste 160, Carson City, NV 89703 Phone: 775-445-7650 | |
Richard I Yamamoto, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St, Suite 200, Carson City, NV 89706 Phone: 775-445-7170 Fax: 775-883-0959 |