Kelli A Hertz, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Madison, Indiana. She went to Indiana University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Norton - Kings Daughters Health Inc and her current practice location is
1373 E Sr 62, Madison, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 801-0856.
Kelli A Hertz is licensed to practice in Indiana (license number 01057454) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538199591.
Physician's Profile
| Full Name | Kelli A Hertz |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 25 Years |
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| Location | 1373 E Sr 62, Madison, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Kelli A Hertz attended and graduated from Indiana University School Of Medicine in 1999
NPI Data:
- NPI Number: 1538199591
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002931797
- Enrollment ID: I20100917001081
Medical Identifiers
Medical identifiers for Kelli A Hertz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538199591 | NPI | - | NPPES |
| 2442604000 | Other | KY | PASSPORT ADVANTAGE |
| 50000949 | Other | KY | PASSPORT KY MEDICAID |
| 200427150A | Medicaid | IN | |
| 419915P | Other | IN | SIHO |
| P00001620 | Other | | MEDICARE RAILROAD |
| 000000291257 | Other | IN | ANTHEM BCBS |
| 64069651 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 01057454 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Norton - Kings Daughters Health Inc | 9739089319 | 77 |
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. Kelli A Hertz allows following entities to bill medicare on her behalf.
| Entity Name | Norton - Kings Daughters Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955093
PECOS PAC ID: 9739089319
Enrollment ID: O20040520001611 |
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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. Kelli A Hertz 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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Kelli A Hertz, MD
Po Box 3395,
Evansville, IN 47732-3395
Ph: () - | Kelli A Hertz, MD
1373 E Sr 62,
Madison, IN 47250
Ph: (812) 801-0856 |
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