Kelly Elizabeth Mortell, MD in South Bend, IN - Medicare Interventional Radiology

Kelly Elizabeth Mortell, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in South Bend, Indiana. She went to Indiana University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Imaging Associates Of Indiana Pc and her current practice location is 621 Memorial Dr, Ste 312, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-5200.

Kelly Elizabeth Mortell is licensed to practice in Indiana (license number 01075131A) 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 1841434354.

Contact Information

	Kelly Elizabeth Mortell, MD
	621 Memorial Dr, Ste 312, South Bend, IN 46601-1063
	(574) 647-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Elizabeth Mortell
Gender	Female
Speciality	Interventional Radiology
Experience	16 Years
Location	621 Memorial Dr, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Elizabeth Mortell attended and graduated from Indiana University School Of Medicine in 2009

NPI Data:

NPI Number: 1841434354
Provider Enumeration Date: 04/28/2009
Last Update Date: 12/06/2017

Medicare PECOS Information:

PECOS PAC ID: 4486870177
Enrollment ID: I20150518001622

Medical Identifiers

Medical identifiers for Kelly Elizabeth Mortell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841434354	NPI	-	NPPES
000000951355	Other	IN	BCBS BMG VEIN SPECIALIST
201289120	Medicaid	IN
000000928326	Other	IN	BCBS BMG VASCULAR INTERVENTIONAL RADIOLOGY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	01075131A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Hospital	Indianapolis, IN	Hospital
Ascension St Vincent Carmel	Carmel, IN	Hospital
St Vincent Heart Center	Indianapolis, IN	Hospital
Ascension St Vincent Anderson	Anderson, IN	Hospital
Ascension St Vincent Kokomo	Kokomo, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Imaging Associates Of Indiana Pc	1254503345	171

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. Kelly Elizabeth Mortell allows following entities to bill medicare on her behalf.

Entity Name	Northwest Radiology Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447259338 PECOS PAC ID: 1557331261 Enrollment ID: O20040729000990

Entity Name	Imaging Associates Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20111014000250

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. Kelly Elizabeth Mortell 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
Kelly Elizabeth Mortell, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Kelly Elizabeth Mortell, MD 621 Memorial Dr, Ste 312, South Bend, IN 46601-1063 Ph: (574) 647-5200

Reviews and Comments

Radiology Doctors in South Bend, IN

Dr. Scott H Wolf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311
Dr. Vu H Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Dr. Michael John Hall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Dr. Brett A Stephens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Dr. David A Cory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Brian Schirf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl, Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Dr. Thomas A Bowers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311

Kelly Elizabeth Mortell, MD - Medicare Interventional Radiology in South Bend, IN