| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Hca Florida Englewood Hospital | Englewood, FL | Hospital |
| Navarro Regional Hospital | Corsicana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 976 |
| Comprehensive Hospitalist Services Of Texas Pllc | 8022150036 | 10 |
| Florida Medical Specialists Llc | 5799786687 | 125 |
| Entity Name | Florida Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750399598 PECOS PAC ID: 5799786687 Enrollment ID: O20070726000554 |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Entity Name | Er2you LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457701369 PECOS PAC ID: 4880966548 Enrollment ID: O20170816001130 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| 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: Medicare Enrolled 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: May Accept 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 |
Karlie Sweiderk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2040 Tamiami Trl, Port Charlotte, FL 33948 Phone: 856-558-2924 |