Dr Ian A Kellman, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Shaverton, Pennsylvania. He went to State University Of Ny Upstate Medical University and graduated in 1966 and has 59 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kan-di-ki Llc and his current practice location is
625 Hampton Rd, Shaverton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 881-3354.
Dr Ian A Kellman is licensed to practice in Pennsylvania (license number MD017470E) 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 1023088382.
Physician's Profile
| Full Name | Dr Ian A Kellman |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 59 Years |
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| Location | 625 Hampton Rd, Shaverton, Pennsylvania |
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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 Ian A Kellman attended and graduated from State University Of Ny Upstate Medical University in 1966
NPI Data:
- NPI Number: 1023088382
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961390075
- Enrollment ID: I20040310000011
Medical Identifiers
Medical identifiers for Dr Ian A Kellman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023088382 | NPI | - | NPPES |
| 0006544430001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085B0100X | Radiology - Body Imaging | MD017470E (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD017470E (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kan-di-ki Llc | 5991737140 | 30 |
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 Ian A Kellman allows following entities to bill medicare on his behalf.
| Entity Name | Symphony Diagnostic Services No 1 Llc |
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| Entity Type | Part B Supplier - Portable X-ray Supplier |
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| Entity Identifiers | NPI Number: 1700865094
PECOS PAC ID: 5193638765
Enrollment ID: O20031218000212 |
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| Entity Name | Kan-di-ki Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548422488
PECOS PAC ID: 5991737140
Enrollment ID: O20160211001247 |
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| Entity Name | Reono Bertagnolli A Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134424005
PECOS PAC ID: 6800709783
Enrollment ID: O20160411000880 |
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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 Ian A Kellman 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 |
|---|
Dr Ian A Kellman, MD
625 Hampton Rd,
Shaverton, PA 18708-9526
Ph: (570) 881-3354 | Dr Ian A Kellman, MD
625 Hampton Rd,
Shaverton, PA 18708-9526
Ph: (570) 881-3354 |
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