Russell S Kelly, MD | |
91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 | |
(808) 678-0700 | |
(808) 678-0776 |
Full Name | Russell S Kelly |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 91-2139 Fort Weaver Rd, Ewa Beach, Hawaii |
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 |
---|---|---|---|
1790787729 | NPI | - | NPPES |
0000241885 | Medicaid | HI | |
539207 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11807 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Queens Medical Center | Honolulu, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Russell S Kelly Md Llc | 2365548781 | 2 |
Medical Office Force | 9335481951 | 20 |
Entity Name | Russell S Kelly Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598810814 PECOS PAC ID: 2365548781 Enrollment ID: O20070502000010 |
Entity Name | Medical Office Force |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20211012003040 |
Mailing Address | Practice Location Address |
---|---|
Russell S Kelly, MD 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 Ph: (808) 678-0700 | Russell S Kelly, MD 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 Ph: (808) 678-0700 |
Mr. Kevin Marc Salire, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, HI 96706 Phone: 808-691-3340 Fax: 808-691-3345 | |
Mrs. Aurora C Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2139 Fort Weaver Rd. #307, Ewa Beach, HI 96706 Phone: 808-680-0008 Fax: 808-680-0049 | |
Laverne Arabella Kia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912139 Fort Weaver Road, Suite 209, Ewa Beach, HI 96706 Phone: 808-671-4530 Fax: 808-676-1066 | |
Dr. Kimberly Kyle, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Albert Lin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-678-7000 | |
Daniel K Chan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, HI 96706 Phone: 808-691-3150 Fax: 808-691-3153 | |
Merrie Oshiro, Internal Medicine Medicare: Medicare Enrolled Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 |