Kelly J Roush Icenhower, DC - Medicare Chiropractor in Gallipolis, OH

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Kelly J Roush Icenhower, DC is a medicare enrolled "Chiropractor" provider in Gallipolis, Ohio. She went to Palmer College Chiropractic - West Sunnyvale and graduated in 1996 and has 28 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Holzer Clinic Llc, Holzer Clinic Llc and her current practice location is 1051 4th Ave, Gallipolis, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 446-5244.

Kelly J Roush Icenhower is licensed to practice in Ohio (license number 2510) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629018320.

Contact Information

Kelly J Roush Icenhower, DC
1051 4th Ave,
Gallipolis, OH 45631-1612
(740) 446-5244
(740) 446-5565

Map and Direction




Healthcare Provider's Profile

Full NameKelly J Roush Icenhower
GenderFemale
SpecialityChiropractic
Experience28 Years
Location1051 4th Ave, Gallipolis, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly J Roush Icenhower attended and graduated from Palmer College Chiropractic - West Sunnyvale in 1996
  NPI Data:
  • NPI Number: 1629018320
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 07/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789775909
  • Enrollment ID: I20070802000213

Medical Identifiers

Medical identifiers for Kelly J Roush Icenhower such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629018320NPI-NPPES
350039394OtherRR MEDICARE
000000185276OtherOHUNISON MEDICAID
2026677MedicaidOH
000000007692OtherANTHEM BCBS
0132242000MedicaidWV
001714092OtherMOUNTAIN STATE BCBS
310917085149OtherOHCARESOURCE MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 2510 (West Virginia)Secondary
111N00000XChiropractor 2510 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holzer Clinic Llc5890606008268
Holzer Clinic Llc5890606008268

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly J Roush Icenhower allows following entities to bill medicare on her behalf.
Provider NameHolzer Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly J Roush Icenhower is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly J Roush Icenhower, DC
90 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5244		Kelly J Roush Icenhower, DC
1051 4th Ave,
Gallipolis, OH 45631-1612

Ph: (740) 446-5244

Reviews and Comments


Chiropractor in Gallipolis, OH

Mrs. Aubrey Devin Lane, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 990 2nd Ave, Gallipolis, OH 45631
Phone: 740-441-0200    Fax: 740-441-1907
Dr. Christopher Barry Wilcoxon, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 228 Upper River Road, Gallipolis, OH 45631
Phone: 740-446-3836    Fax: 740-446-3790
Gallipolis Chiropractic And Wellness Center
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 990 2nd Ave, Gallipolis, OH 45631
Phone: 740-441-0200    Fax: 740-441-1907
Dr. Joey David Wilcoxon, D.C.
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 990 2nd Ave, Gallipolis, OH 45631
Phone: 740-441-0200    Fax: 740-441-1907
Dr. James Matthew Wellington, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 21 Central Ave, Suite B, Gallipolis, OH 45631
Phone: 740-446-6965    Fax: 740-446-7391
Dr. Stephen Lee Wilcoxon, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 228 Upper River Rd, Gallipolis, OH 45631
Phone: 174-044-6383    Fax: 174-044-6379

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.