Martin J Kelly, PA | |
263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 | |
(860) 679-7503 | |
(860) 679-1610 |
Full Name | Martin J Kelly |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 27 Years |
Location | 263 Farmington Ave, Farmington, Connecticut |
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 |
---|---|---|---|
1447300702 | NPI | - | NPPES |
003009792 | Medicaid | CT | |
30656 | Other | CT | CONTROLLED SUBSTANCE LIC |
000979 | Other | CT | PA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 000979 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Urgent Care Centers Llc | 7618242777 | 161 |
Mailing Address | Practice Location Address |
---|---|
Martin J Kelly, PA 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Martin J Kelly, PA 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 |
Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210 | |
Lisa Petricca, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 | |
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414 | |
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232 | |
Mrs. Heather Hansen Kurtzman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Emergency Department, Farmington, CT 06030 Phone: 860-679-2588 | |
Courtney Ann Scott, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 599 Farmington Ave Fl 2, Farmington, CT 06032 Phone: 860-837-9600 |