William Kelley, MD | |
100 Hospital Dr, Anesthesia Department, Bennington, VT 05201-5004 | |
(802) 447-5590 | |
(802) 440-6099 |
Full Name | William Kelley |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 100 Hospital Dr, Bennington, Vermont |
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 |
---|---|---|---|
1194772558 | NPI | - | NPPES |
1009703 | Medicaid | VT | |
P00048870 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 15758 (New Hampshire) | Secondary |
207L00000X | Anesthesiology | 0420010592 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Catholic Medical Center | Manchester, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Care Group Pc | 5395646178 | 26 |
Catholic Medical Center | 6103897129 | 296 |
Entity Name | Anesthesia Care Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629074224 PECOS PAC ID: 5395646178 Enrollment ID: O20040115000446 |
Entity Name | Anesthesia Associates Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881791150 PECOS PAC ID: 3375532435 Enrollment ID: O20040512000620 |
Entity Name | Icon Anesthesia Services Of New England Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20210805001349 |
Entity Name | Catholic Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1003692112 PECOS PAC ID: 6103897129 Enrollment ID: O20231122002805 |
Mailing Address | Practice Location Address |
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William Kelley, MD Po Box 252, Lewiston, ME 04243-0252 Ph: (800) 720-1664 | William Kelley, MD 100 Hospital Dr, Anesthesia Department, Bennington, VT 05201-5004 Ph: (802) 447-5590 |
Anthony B Fazzone, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 100 Hospital Dr., Southwestern Vermont Health Care, Bennington, VT 05201 Phone: 802-442-6361 |