Michael R Kelly
MD | Pediatrics | Male
Michael R Kelly, MD is a Fairhaven, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael R Kelly is
208 Mill Rd, Fairhaven, Massachusetts - 02719-5208. He can be contacted on phone at
508-758-3781 and fax number 508-758-4455.
Michael R Kelly is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael R Kelly is
1679780761 which was assigned by NPPES on 17 May, 2007 and it was last updated on 22 Apr, 2020.
Michael R Kelly license number is
243308 for Pediatrics (208000000X) in Massachusetts.
Michael R Kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael R Kelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael R Kelly |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael R Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 208 Mill Rd
Fairhaven, MA, 02719-5208
United States |
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| Phone Number : | 508-758-3781 |
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| Fax Number : | 508-758-4455 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679780761 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2007 |
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| Last Updated On : | 22 Apr, 2020 |
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Medicare Participation:
Michael R Kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6103019286 |
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| Medicare Enrollment ID : | I20101021000393 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | University Of Massachusetts Medical School |
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| Graduation Year : | 2006 |
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| Accepts Medicare? | Yes. Michael R Kelly accepts medicare insurance. |
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Group Practice Association:
Michael R Kelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael R Kelly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Southcoast Physicians Group Inc | 0749171957 | 705 | 206 Mill Rd
Fairhaven, MA - 027195208
Ph: 5089733000 | Yes |
| Southcoast Physicians Group Inc | 0749171957 | 705 | 208 Mill Rd
Fairhaven, MA - 027195208
Ph: 5087583781 | Yes |
| Southcoast Physicians Group Inc | 0749171957 | 705 | 534 Prospect St
Fall River, MA - 027205281
Ph: 5089737766 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael R Kelly are as mentioned. Primary taxonomy code for Michael R Kelly, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 243308 | MA |
| 208000000X | Pediatrics | Yes | 243308 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Michael R Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110086557A | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mkelly5948@direct.southcoast.org
Southcoast Health Epic Direct Address | No affiliation |
|
| 208 MILL RD,
FAIRHAVEN, MA, 02719-5208
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 200 Mill Rd, Ste 180
Fairhaven, MA, 02719-5252
United States |
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| Phone Number : | 508-973-2000 |
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| Fax Number : | 508-973-2001 |
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Business Location:
Patients can refer following map for directions to
Michael R Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.