Mr Gary Lee Kelley, PT | |
711 Rush Ave, Bellefontaine, OH 43311 | |
(937) 592-1625 | |
(937) 592-3489 |
Full Name | Mr Gary Lee Kelley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 711 Rush Ave, Bellefontaine, Ohio |
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 |
---|---|---|---|
1659474252 | NPI | - | NPPES |
000000201029 | Other | OH | ANTHEM |
2322187 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT08693 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellefontaine Physical Therapy Ltd | 7214934017 | 4 |
Provider Name | Bellefontaine Physical Therapy Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184682932 PECOS PAC ID: 7214934017 Enrollment ID: O20221018000309 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary Lee Kelley, PT 711 Rush Ave, Bellefontaine, OH 43311 Ph: (937) 592-1625 | Mr Gary Lee Kelley, PT 711 Rush Ave, Bellefontaine, OH 43311 Ph: (937) 592-1625 |
Mrs. Jennifer Noel Skidmore, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Rush Ave, Bellefontaine, OH 43311 Phone: 937-592-1625 Fax: 937-592-1625 | |
Mrs. Margaret A Headings, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 Rush Ave, Bellefontaine, OH 43311 Phone: 937-592-1625 Fax: 937-592-3489 | |
Dr. David Marshall Kerns, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Rush Ave, Bellefontaine, OH 43311 Phone: 480-276-5224 | |
Mrs. Laura Marie Burton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Rush Ave, Bellefontaine, OH 43311 Phone: 937-592-1625 Fax: 937-592-3489 | |
Mr. Marguerita Kathleen Norviel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Rush Ave, Bellefontaine, OH 43311 Phone: 937-592-1625 Fax: 937-592-3489 | |
Marie Danielle Harr, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1134 N Main St, Bellefontaine, OH 43311 Phone: 937-593-0822 |