Kellen Mastick, MD in South Bend, IN - Medicare Internal Medicine

Kellen Mastick, MD is a medicare enrolled "Internal Medicine" physician in South Bend, Indiana. His current practice location is 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-3050.

Kellen Mastick is licensed to practice in Indiana (license number 01087004A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538655709.

Contact Information

	Kellen Mastick, MD
	615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601-1033
	(574) 647-3050
	(574) 647-4320

Map and Direction

Physician's Profile

Full Name	Kellen Mastick
Gender	Male
Speciality	Internal Medicine
Location	615 N Michigan St 1st Fl Hospitalist Ste, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538655709
Provider Enumeration Date: 07/10/2018
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 9739564014
Enrollment ID: I20220922002812

Medical Identifiers

Medical identifiers for Kellen Mastick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538655709	NPI	-	NPPES
300060015	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	15248 (North Dakota)	Secondary
207R00000X	Internal Medicine	01087004A (Indiana)	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. Kellen Mastick allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Kellen Mastick 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
Kellen Mastick, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1840	Kellen Mastick, MD 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601-1033 Ph: (574) 647-3050

Reviews and Comments

Internal Medicine Doctors in South Bend, IN

Mayank Kumar Mittal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111
Dr. Steven P. Crowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474
Muhammad Shakil Aslam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111
Monika Niemiec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094
Dr. Travis Weaver, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572
Dr. Thomas P Barbour, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474
Dr. Ahmed A Abdel-latief, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-239-1433 Fax: 574-239-1438

Kellen Mastick, MD - Medicare Internal Medicine in South Bend, IN