Phillip W Kelly, MD | |
1704 11th St, Wichita Falls, TX 76301-5020 | |
(940) 723-1274 | |
(940) 723-1525 |
Full Name | Phillip W Kelly |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 51 Years |
Location | 1704 11th St, Wichita Falls, Texas |
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 |
---|---|---|---|
1285695601 | NPI | - | NPPES |
126246101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | F6267 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Texas Ophthalmology Associates, Pllc | 9234535493 | 5 |
Entity Name | North Texas Ophthalmology Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902477789 PECOS PAC ID: 9234535493 Enrollment ID: O20210914000905 |
Mailing Address | Practice Location Address |
---|---|
Phillip W Kelly, MD 1704 11th St, Wichita Falls, TX 76301-5020 Ph: (940) 723-1274 | Phillip W Kelly, MD 1704 11th St, Wichita Falls, TX 76301-5020 Ph: (940) 723-1274 |
Charles Blake Avera, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1704 11th St, Wichita Falls, TX 76301 Phone: 940-723-1274 Fax: 940-723-1525 | |
Dr. Russell Kuempel, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 501 Midwestern Pkwy E, Wichita Falls, TX 76302 Phone: 940-766-3551 Fax: 940-763-7845 | |
Marylin H White, M. D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1704 11th St, Wichita Falls, TX 76301 Phone: 940-723-1274 Fax: 940-723-1525 | |
Dr. Devin M West, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1704 11th St, Wichita Falls, TX 76301 Phone: 940-723-1274 Fax: 940-723-1525 |