Timothy L Kelly, MD | |
732 Sw 23rd St, Redmond, OR 97756-9400 | |
(541) 548-7483 | |
Not Available |
Full Name | Timothy L Kelly |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 732 Sw 23rd St, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992798169 | NPI | - | NPPES |
8358756 | Medicaid | WA | |
P00326179 | Other | RR MEDICARE | |
8905947 | Other | WA | CRIME VICTIMS |
0197446 | Other | WA | LABOR & IND |
213668 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD00041959 (Washington) | Primary |
Entity Name | Hospice Of Redmond |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285256776 PECOS PAC ID: 1759535933 Enrollment ID: O20200722003073 |
Mailing Address | Practice Location Address |
---|---|
Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 | Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 |
Dr. Jerry Bass, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5745 Nw Homestead Way, Redmond, OR 97756 Phone: 541-419-6388 | |
Jeffrey T Donaldson, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 |