Brian P Kelly, DPT, SCS, ATC | |
415 Crosslake Dr Ste B, Evansville, IN 47715 | |
(812) 476-0409 | |
(812) 476-1016 |
Full Name | Brian P Kelly |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 415 Crosslake Dr Ste B, Evansville, Indiana |
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 |
---|---|---|---|
1811971666 | NPI | - | NPPES |
200839360 | Medicaid | IN | |
000000197256 | Other | IN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05005037A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-state Orthopaedic Surgeons Inc | 6800781949 | 64 |
Provider Name | Prorehab Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770565509 PECOS PAC ID: 1254317217 Enrollment ID: O20061219000040 |
Provider Name | Tri-state Orthopaedic Surgeons Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073501003 PECOS PAC ID: 6800781949 Enrollment ID: O20080228000136 |
Mailing Address | Practice Location Address |
---|---|
Brian P Kelly, DPT, SCS, ATC Po Box 5629, Evansville, IN 47716-5629 Ph: (812) 476-0409 | Brian P Kelly, DPT, SCS, ATC 415 Crosslake Dr Ste B, Evansville, IN 47715 Ph: (812) 476-0409 |
Conner J Zuber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-474-2296 | |
Arnaldo Santana Rodriguez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 | |
Ricky Kenneth Lockard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-476-7000 | |
Suzanne M Flamion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14020 Old State Rd Ste D100, Evansville, IN 47725 Phone: 812-469-4770 | |
Kaylan Seng, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1411 | |
Kayla Marie Lydon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5625 Pearl Dr Ste 100, Evansville, IN 47712 Phone: 812-759-7493 Fax: 812-401-2346 | |
Katherine E Garcia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Interchange Rd S Ste A, Evansville, IN 47715 Phone: 812-477-5000 Fax: 812-477-5002 |