Shannon Kelly

M.D | Pediatric Hematology-Oncology | Female

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Complete Profile:

Shannon Kelly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Shannon Kelly
Credential :	M.D
Gender :	Female

Business Address:

Shannon 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 :	270 Masonic Ave San Francisco, CA, 94118-4417 United States
Phone Number :	504-319-1574

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 :	1669792107
NPI Entity Type :	Individual
First Enrolment Date :	07 Jun, 2010
Last Updated On :	13 May, 2015

Medicare Participation:

Shannon Kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012247505
Medicare Enrollment ID :	I20190926000248
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	2003
Accepts Medicare?	Yes. Shannon Kelly accepts medicare insurance.

Group Practice Association:

Shannon 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 Shannon Kelly is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ucsf Medical Group Business Services	3779497870	999	400 Parnassus Ave San Francisco, CA - 941432202 Ph: 4154761000	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 Shannon Kelly are as mentioned. Primary taxonomy code for Shannon Kelly, M.D is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
207ZB0001X	Pathology Blood Banking & Transfusion Medicine	No	100334	CA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	A100334	CA

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 :	3201 Cutter Way Sacramento, CA, 95818-4437 United States
Phone Number :	504-319-1574

Business Location:

Patients can refer following map for directions to Shannon 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.