Manuel R Kelley (NPI# 1083670830, PAC ID# 1951338581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083670830 |
| PAC ID by PECOS | 1951338581 |
| Professional Enrollment ID | I20050725001216 |
| Full Name | Manuel R Kelley |
| Organization Legal Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Address |
1101 Tennesee St Pine Bluff AR 71603-5801 |
| Phone Number | 8705432380 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193634509 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1101 Tennesee St, Pine Bluff, AR 71603-5801 | 8705432380 | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Organization Legal Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keesha M Brown | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1225 Dr Martin Luther King Dr, Little Rock, AR 72202-4743 |
| Michelle L Bagby | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Meredith B Allison | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 |
| Estelita M Quimosing | Internal Medicine | Jefferson Comprehensive Care System, Inc | 113 W River Rd, Redfield, AR 72132-0066 |
| Barbara Darlene Byrd | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 505 Sycamore, Rison, AR 71665 |
| Carla D Devose | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Vunkisha Nash | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Kathy L Woods | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Yolanda C Jeffery | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Crystal Holmes | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Street Address |
1101 TENNESEE ST |
| City | PINE BLUFF |
| State | AR |
| Zip | 71603-5801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Bagby | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Carla D Devose | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Vunkisha Nash | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Kathy L Woods | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Yolanda C Jeffery | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Crystal Holmes | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Marcus Crouther | Emergency Medicine | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Stephanie J Shaw | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Sherri L Diamond | Family Medicine | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Linda G Cabine | Nurse Practitioner | Jefferson Comprehensive Care System, Inc | 1101 Tennesee St, Pine Bluff, AR 71603-5801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo E Lim | Diagnostic Radiology | Pine Bluff Radiologists, Ltd | 1801 W 40th St, Pine Bluff, AR 71603 |
| Syed A Samad | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Cyrus Tamboli | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Denise Jarrett | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Bessie Lancelin | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Abeer Washington | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Diane C. Boyd | Nurse Practitioner | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Joyce A Walker | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Terrell P Bishop | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Cynthia G Slaughter | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Find all physicians in zip 71603 | |||
| City | PINE BLUFF |
| Zip Code | 71603 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PINE BLUFF + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Manuel R Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.