Look up the most recent NPI and PECOS records

Jillian Aileen Kelly-Motamed

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JILLIAN KELLY.

Based on the most recent information from CMS, provider Jillian Aileen Kelly-Motamed is legally eligible to order and refer claims for DME and PMD services only.

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

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205419330
Provider Type
Individual
Full Name
Kelly-Motamed, Jillian Aileen
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/5/2021
Last Updated
8/7/2024

Contact Information

Practice Location

250 W 5th St, Hanford, CA 93230-5029

(877) 960-3426

Unlisted Fax

Mailing Location

250 W 5th St, Hanford, CA 93230-5029

(877) 960-3426

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A196332 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jillian Aileen Kelly-Motamed

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Beddoe, Randy Allen

Castillo, Romeo C.

Urrutia, Nicholas Daniel

Campus Family Health Medical Center, Inc.

Majzoubi, Daria

Eric N Sorensen M.D. Inc.

Adventist Health Physians Network

Knudson, Allan A

Riddle, John M

Lally, Nicole Elaine