| Dr Ricky Kellenberger, DO | |
|
202 State St, Suite A, Fort Scott, KS 66701-2031 | |
| (620) 223-3950 | |
| (620) 223-1302 |
| Full Name | Dr Ricky Kellenberger |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 202 State St, Fort Scott, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700864568 | NPI | - | NPPES |
| 245111802 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2000157954 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 05-19720 (Kansas) | Primary |
| 208M00000X | Hospitalist | 05-19720 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nevada Regional Medical Center | Nevada, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Scott Family Medicine Pa | 5991737512 | 2 |
| Entity Name | Hospital District No 1 Crawford County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508897182 PECOS PAC ID: 3476464538 Enrollment ID: O20040112000337 |
| Entity Name | Fort Scott Family Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467566802 PECOS PAC ID: 5991737512 Enrollment ID: O20050905000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricky Kellenberger, DO 202 State St Ste A, Fort Scott, KS 66701-2067 Ph: (620) 223-3950 | Dr Ricky Kellenberger, DO 202 State St, Suite A, Fort Scott, KS 66701-2031 Ph: (620) 223-3950 |
Dr. Pankaj Gugnani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2322 S Main St, Fort Scott, KS 66701 Phone: 888-777-9170 | |
Dr. Maxwell James Self, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2322 S Main St, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8002 | |
Dr. Roger Parris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8524 | |
Dr. Katrina M. Burke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S. Main Street, Fort Scott, KS 66701 Phone: 620-224-2627 Fax: 620-224-2453 | |
Robert R Nichols, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8524 | |
Kinede Jennings, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 S Main St, Fort Scott, KS 66701 Phone: 620-215-1435 |