Kellie Dewitt, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in El Paso, Illinois. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carle Eureka Hospital and her current practice location is
385 S Orange Street, El Paso, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 527-4900.
Kellie Dewitt is licensed to practice in Illinois (license number 085003478) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871722868.
Provider's Profile
| Full Name | Kellie Dewitt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 385 S Orange Street, El Paso, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kellie Dewitt graduated from nursing school in 2009
NPI Data:
- NPI Number: 1871722868
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 09/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 7719128982
- Enrollment ID: I20130731000085
Medical Identifiers
Medical identifiers for Kellie Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871722868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 085003478 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Carle Eureka Hospital | 3870914393 | 10 |
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. Kellie Dewitt allows following entities to bill medicare on her behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
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| Entity Name | Carle Eureka Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
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| Entity Name | Carle West Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Kellie Dewitt 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 |
Kellie Dewitt, PHYSICIAN ASSISTANT 385 S Orange St, El Paso, IL 61738-1613 Ph: (309) 527-4900 | Kellie Dewitt, PHYSICIAN ASSISTANT 385 S Orange Street, El Paso, IL 71738 Ph: (309) 527-4900 |
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