Look up the most recent NPI and PECOS records

Kellie Boyd Barnes

Family Medicine

Allopathic & Osteopathic Physicians

632 Broadway Ph 12, New York, NY 10012-2614

PECOS Enrollment

Based on the most recent information from CMS, provider Kellie Boyd Barnes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1740246073
Provider Type
Individual
Full Name
Barnes, Kellie Boyd
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/25/2006
Last Updated
9/22/2022

Contact Information

Practice Location

632 Broadway Ph 12, New York, NY 10012-2614

(347) 294-3424

Unlisted Fax

Mailing Location

632 Broadway Ph 12, New York, NY 10012-2614

(347) 294-3424

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 35083658B Ohio
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 43055 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 2458988	Description Medicaid	Issuer Unlisted Ohio
ID 64079031	Description Medicaid	Issuer Unlisted Kentucky

Kellie Boyd Barnes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Galileo Medical Group Mid-Atlantic, Pa

Jarrell, Todd M

Cohen, Barry

Galileo Medical Pc

Galileo Medical Group Me, Pc

Lin-Brande, Christopher

Hsiung, Leslie

Surace, Erika

Godwin, Chloe Eliza

Galileo Medical Group, Tx Pa