Michael D Kelly, CRNA | |
250 S 21st St, Easton, PA 18042-3851 | |
(610) 250-4303 | |
(610) 250-4846 |
Full Name | Michael D Kelly |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 250 S 21st St, Easton, Pennsylvania |
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 |
---|---|---|---|
1851380471 | NPI | - | NPPES |
075242 | Other | PA | AANA ID |
P00678819 | Other | PA | RAILROAD MEDICARE |
26NR08257400 | Other | NJ | REGISTERED PROF NURSE |
101495676 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN316546L (Pennsylvania) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00335100 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Einstein Medical Center Montgomery | East norriton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Einstein Practice Plan Inc | 2769395896 | 603 |
Rgal Anesthesia Services Llc | 7517130602 | 114 |
Entity Name | Einstein Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Entity Name | Rgal Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
Entity Name | Anthracite Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366168353 PECOS PAC ID: 0941672489 Enrollment ID: O20230210000483 |
Mailing Address | Practice Location Address |
---|---|
Michael D Kelly, CRNA Po Box 650782, Dallas, TX 75265-0782 Ph: (215) 442-5085 | Michael D Kelly, CRNA 250 S 21st St, Easton, PA 18042-3851 Ph: (610) 250-4303 |
Guishu Fang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 Fax: 610-250-4804 | |
Joseph Demchur, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 215-442-5085 Fax: 877-329-2370 | |
Mrs. Irina Dash, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4000 | |
Anne Bassler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 | |
Deborah Ann Mustin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4300 Fax: 610-250-4804 | |
Lolock N Nyangweso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4075 Fax: 215-672-4264 | |
Gordon B Grier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 S 21st St, Easton, PA 18042 Phone: 610-250-4303 Fax: 610-250-4846 |