Robert E Kelly Jr, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-7703 | |
(757) 668-8860 |
Full Name | Robert E Kelly Jr |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396752838 | NPI | - | NPPES |
8906998 | Medicaid | NC | |
4480859 | Other | VA | AETNA |
15404 | Other | VA | OPTIMA/SENTARA HEALTH |
3116108340002E | Other | VA | CIGNA |
321883 | Other | VA | MAMSI/OPTIMUM CHOICE |
006732861 | Medicaid | VA | |
321883 | Other | VA | ALLIANCE/MDIPA |
265055 | Other | VA | ANTHEM BCBS |
311610834 | Other | VA | NC HEALTH CHOICE |
8906998 | Other | VA | NORTH CAROLINA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 0101050898 (Virginia) | Primary |
Entity Name | Children's Surgical Specialty Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245248947 PECOS PAC ID: 0244288470 Enrollment ID: O20050315000329 |
Mailing Address | Practice Location Address |
---|---|
Robert E Kelly Jr, MD Po Box 741593, Childrens Surgical Specialty Group Inc, Atlanta, GA 30374-1593 Ph: (757) 668-7703 | Robert E Kelly Jr, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7703 |
Jennifer Masden Reed, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610 | |
Dr. Duncan Paul Yoder, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 8620, Norfolk, VA 23507 Phone: 757-395-1600 Fax: 757-625-0433 | |
Isabella Kim, Surgery Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
Marcia Ann Kuhn, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7703 Fax: 757-668-8860 | |
Dr. Rebecca Caperton Britt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, Suite 610, Norfolk, VA 23507 Phone: 757-446-8950 Fax: 757-446-5197 | |
Marybeth Scavone Hughes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, Ste 610, Norfolk, VA 23507 Phone: 757-446-8960 Fax: 757-446-5197 | |
Dr. Gregory Franklin Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Kingsley Ln, Ste. 400, Norfolk, VA 23505 Phone: 757-889-6830 Fax: 757-889-6838 |