Dr Augustine J Kellis, MD is a medicare enrolled "Ophthalmology" physician in Chardon, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1989 and has 37 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Ophthalmology And Oculoplastic Surgery, Llc and his current practice location is
150 7th Ave, Suite 100, Chardon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 285-2020.
Dr Augustine J Kellis is licensed to practice in Ohio (license number 35060480) 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 1437193828.
Physician's Profile
| Full Name | Dr Augustine J Kellis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 37 Years |
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| Location | 150 7th Ave, Chardon, Ohio |
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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:
- Dr Augustine J Kellis attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1989
NPI Data:
- NPI Number: 1437193828
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193621852
- Enrollment ID: I20040211000873
Medical Identifiers
Medical identifiers for Dr Augustine J Kellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437193828 | NPI | - | NPPES |
| 0978036 | Medicaid | OH | |
| 180020602 | Other | OH | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 35060480 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ophthalmology And Oculoplastic Surgery, Llc | 1355247081 | 5 |
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. Dr Augustine J Kellis allows following entities to bill medicare on his behalf.
| Entity Name | Ophthalmology And Oculoplastic Surgery, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073713400
PECOS PAC ID: 1355247081
Enrollment ID: O20090914000000 |
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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. Dr Augustine J Kellis 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 |
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Dr Augustine J Kellis, MD
150 7th Ave, Suite 100,
Chardon, OH 44024-2908
Ph: (440) 285-2020 | Dr Augustine J Kellis, MD
150 7th Ave, Suite 100,
Chardon, OH 44024-2908
Ph: (440) 285-2020 |
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