Zane Penton Kelly, CRNP | |
115 Herren Hill Rd, Tallassee, AL 36078-1276 | |
(334) 283-3477 | |
(334) 283-4162 |
Full Name | Zane Penton Kelly |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 115 Herren Hill Rd, Tallassee, Alabama |
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 |
---|---|---|---|
1043787526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1-134397 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospice Care | Tallassee, AL | Hospice |
Community Hospital Inc | Tallassee, AL | Hospital |
Baptist Medical Center South | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Hospital Inc | 2062408487 | 20 |
Entity Name | Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
Entity Name | Guardian Biologics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20230929002218 |
Entity Name | Regional Healthcare Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407587363 PECOS PAC ID: 8224412234 Enrollment ID: O20230929003277 |
Mailing Address | Practice Location Address |
---|---|
Zane Penton Kelly, CRNP 115 Herren Hill Rd, Tallassee, AL 36078-1276 Ph: (334) 283-3477 | Zane Penton Kelly, CRNP 115 Herren Hill Rd, Tallassee, AL 36078-1276 Ph: (334) 283-3477 |
Dr. Irene Alam Bailey, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Thomas Daniel Holt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Michael W Peaden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 | |
Dr. Melvin D Russell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 |