Richard Adam Kellis, MD in Philadelphia, PA

Richard Adam Kellis, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tuality Medical Group Llc and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-8777.

Richard Adam Kellis is licensed to practice in Pennsylvania (license number MT200418) 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 1497040836.

Contact Information

	Richard Adam Kellis, MD
	3400 Spruce St, Philadelphia, PA 19104-4206
	(215) 662-8777
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Adam Kellis
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
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:

Richard Adam Kellis graduated from medical school in 2011

NPI Data:

NPI Number: 1497040836
Provider Enumeration Date: 06/14/2011
Last Update Date: 06/14/2011

Medicare PECOS Information:

PECOS PAC ID: 1052633443
Enrollment ID: I20170908002574

Medical Identifiers

Medical identifiers for Richard Adam Kellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497040836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MT200418 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	MT200418 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tuality Community Hospital	Hillsboro, OR	Hospital
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tuality Medical Group Llc	7416173414	255

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. Richard Adam Kellis allows following entities to bill medicare on his behalf.

Entity Name	Tuality Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359

Entity Name	Oregon Health & Science University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417969304 PECOS PAC ID: 1759328842 Enrollment ID: O20050516000173

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Entity Name	Tuality Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238

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. Richard Adam Kellis 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
Richard Adam Kellis, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-8777	Richard Adam Kellis, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-8777

Reviews and Comments

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Carol Bowes-lawlor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830
Dr. Denise Hamilton Christian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 251 E Bringhurst St, Philadelphia, PA 19144 Phone: 215-844-1020 Fax: 215-844-8147

Richard Adam Kellis, MD - Medicare Family Practice in Philadelphia, PA