Mark J Kellen, MD in Rockford, IL - Medicare Anesthesiology

Mark J Kellen, MD is a medicare enrolled "Anesthesiology" physician in Rockford, Illinois. He graduated from medical school in 1990 and has 36 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Osf Multi-specialty Group, Medical Center Anesthesiologists, P.c., Mercy Medical Center and his current practice location is 5875 E Riverside Blvd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-9491.

Mark J Kellen is licensed to practice in Illinois (license number 036-097446) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023178647.

Contact Information

	Mark J Kellen, MD
	5875 E Riverside Blvd, Rockford, IL 61114-4937
	(815) 398-9491
	(815) 381-7498

Map and Direction

Physician's Profile

Full Name	Mark J Kellen
Gender	Male
Speciality	Anesthesiology
Experience	36 Years
Location	5875 E Riverside Blvd, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark J Kellen graduated from medical school in 1990

NPI Data:

NPI Number: 1023178647
Provider Enumeration Date: 12/12/2006
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3577725134
Enrollment ID: I20120427000472

Medical Identifiers

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

Identifier	Type	State	Issuer
1023178647	NPI	-	NPPES
036097446	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	036-097446 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercyone Des Moines Medical Center	Des moines, IA	Hospital
Saint James Hospital	Pontiac, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1848
Medical Center Anesthesiologists, P.c.	4082527270	65
Mercy Medical Center	4183535271	303

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. Mark J Kellen allows following entities to bill medicare on his behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Orthomidwest, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Mark J Kellen 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
Mark J Kellen, MD Po Box 735263, Chicago, IL 60673-5263 Ph: () -	Mark J Kellen, MD 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491

Reviews and Comments

Anesthesiology Doctors in Rockford, IL

Dr. Liza A Dafchahi Shirani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498
Dr. William B Weems, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498
Alan G Mowbray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-4000
John N. Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114 Phone: 815-633-8545
Dr. Vishrut P. Naik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491
Adam Soliman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498

Mark J Kellen, MD - Medicare Anesthesiology in Rockford, IL