David Andrew Kellenberger, PA, RD is a medicare enrolled "Physician Assistant" provider in Corsicana, Texas. He went to University Of Florida College Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Navarro County Ambulatory Care Association, Comprehensive Hospitalist Services Of Texas Pllc and his current practice location is
618 N Main St, Corsicana, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 874-6731.
David Andrew Kellenberger is licensed to practice in Texas (license number PA04525) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073632410.
Healthcare Provider's Profile
| Full Name | David Andrew Kellenberger |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 618 N Main St, Corsicana, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Andrew Kellenberger attended and graduated from University Of Florida College Of Medicine in 2005
NPI Data:
- NPI Number: 1073632410
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810097359
- Enrollment ID: I20070712000286
Medical Identifiers
Medical identifiers for David Andrew Kellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073632410 | NPI | - | NPPES |
| 1G0179 | Other | TX | MEDICARE |
| 355695308 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT81736 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA04525 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Navarro County Ambulatory Care Association | 2466827035 | 3 |
| Comprehensive Hospitalist Services Of Texas Pllc | 8022150036 | 8 |
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. David Andrew Kellenberger 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 Address | Practice Location Address |
|---|
David Andrew Kellenberger, PA, RD
618 N Main St,
Corsicana, TX 75110-3028
Ph: (903) 874-6731 | David Andrew Kellenberger, PA, RD
618 N Main St,
Corsicana, TX 75110-3028
Ph: (903) 874-6731 |
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