| David Andrew Kellenberger, PA, RD | |
|
2343 Aaron St, Port Charlotte, FL 33952-5305 | |
| (855) 979-5700 | |
| (855) 979-5701 |
| Full Name | David Andrew Kellenberger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 2343 Aaron St, Port Charlotte, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073632410 | NPI | - | NPPES |
| 1G0179 | Other | TX | MEDICARE |
| 355695308 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA04525 (Texas) | Primary |
| 133V00000X | Dietitian, Registered | DT81736 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Navarro Regional Hospital | Corsicana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Navarro County Ambulatory Care Association | 2466827035 | 3 |
| Comprehensive Hospitalist Services Of Texas Pllc | 8022150036 | 8 |
| Mailing Address | Practice Location Address |
|---|---|
| David Andrew Kellenberger, PA, RD Po Box 11126, Belfast, ME 04915-4002 Ph: (877) 856-3774 | David Andrew Kellenberger, PA, RD 2343 Aaron St, Port Charlotte, FL 33952-5305 Ph: (855) 979-5700 |
Tyler Thomas Reed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952 Phone: 941-766-5095 Fax: 941-206-0326 | |
Grace Colarossi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Jessica Blanco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3340 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-764-5858 Fax: 941-764-1657 | |
Mrs. Susan Jane Nolan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Grace Diana Tice, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 |