| Thomas A. Kelly D.o. P.c. | |
|
101 E Spicerville Hwy Eaton Rapids MI 48827-1919 | |
| (517) 663-2705 | |
| (517) 663-9470 |
| Full Name | Thomas A. Kelly D.o. P.c. |
|---|---|
| Speciality | General Practice |
| Location | 101 E Spicerville Hwy, Eaton Rapids, Michigan |
| Authorized Official Name and Position | Thomas A Kelly (PRESIDENT) |
| Authorized Official Contact | 5176632705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Kelly D.o. P.c. Po Box 417 Eaton Rapids MI 48827-0417 Ph: (517) 663-2705 | Thomas A. Kelly D.o. P.c. 101 E Spicerville Hwy Eaton Rapids MI 48827-1919 Ph: (517) 663-2705 |
| NPI Number | 1366689275 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Medicare PECOS PAC ID | 6305962648 |
|---|---|
| Medicare Enrollment ID | O20100924000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366689275 | NPI | - | NPPES |
| 0152330085 | Other | MI | BLUE CROSS BLUE SHIELD PPO TRUST |
| 10046150001 | Other | MI | THE WELLNESS PLAN MEDICAID |
| 0279722 | Other | CIGNA HEALTHCARE | |
| 0100444 | Other | PHYSICIAN HEALTH PLAN | |
| 0152330085 | Other | MI | BLUE CHOICE |
| 3319192 | Medicaid | MI | |
| 0152330085 | Other | MI | BLUE CROSS BLUE SHIELD MEDICAL PIN |
| 10046150001 | Other | MI | THE WELLNESS PLAN |
| 202869 | Other | MI | MCLAREN |
| 0152330085 | Other | MI | BLUE PREFFERED PLUS |
| P93421 | Other | MI | BLUE CARE NETWORK |
| 200000002219 | Other | MI | PHYSICIAN HEALTH PLAN FAMILY CARE |
| M034742 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101008344 (Michigan) | Primary |
| Provider Name | Thomas A Kelly |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629033444 PECOS PAC ID: 9931225273 Enrollment ID: I20100924000009 |
| Provider Name | Khristina M Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306435227 PECOS PAC ID: 5991110934 Enrollment ID: I20210224002152 |
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Ureche Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 | |
Age Management Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 517-386-1367 | |
Sandy Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 Fax: 877-489-3949 | |
Ashok K Gupta Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827 Phone: 517-663-9469 Fax: 517-663-9470 | |
Paul D Hankenson Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827 Phone: 517-663-3344 Fax: 517-663-1703 |