Erica Sande Kellenbeck, MD in Coeur D Alene, ID

Erica Sande Kellenbeck, MD is a medicare enrolled "Emergency Medicine" physician in Coeur D Alene, Idaho. Her current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 625-4000.

Erica Sande Kellenbeck is licensed to practice in Idaho (license number M13204) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699081083.

Contact Information

	Erica Sande Kellenbeck, MD
	2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
	(208) 625-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Erica Sande Kellenbeck
Gender	Female
Speciality	Emergency Medicine
Location	2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699081083
Provider Enumeration Date: 08/24/2010
Last Update Date: 02/06/2017

Medicare PECOS Information:

PECOS PAC ID: 5890090229
Enrollment ID: I20160328001335

Medical Identifiers

Medical identifiers for Erica Sande Kellenbeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699081083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	M13204 (Idaho)	Primary

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. Erica Sande Kellenbeck allows following entities to bill medicare on her behalf.

Entity Name	Bonner General Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014

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. Erica Sande Kellenbeck 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
Erica Sande Kellenbeck, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085	Erica Sande Kellenbeck, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000

Reviews and Comments

Emergency Medicine Doctors in Coeur D Alene, ID

Christina Crabtree, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5731
Dr. Matthew Kunz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Dr. Thomas Patrick Martin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-773-7731 Fax: 208-773-7721
Dr. Cody Laverdiere, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708
Kathrine Giarra, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Erika Crawford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700
Cameron Crandall, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708

Erica Sande Kellenbeck, MD - Medicare Emergency Medicine in Coeur D Alene, ID