Kelsey Dodd Kannookaden, PA-C - Medicare Physician Assistant in Decatur, IN

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Kelsey Dodd Kannookaden, PA-C is a medicare enrolled "Physician Assistant" in Decatur, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Adams County Memorial Hospital and her current practice location is 1100 Mercer Ave, Decatur, Indiana. You can reach out to her office (for appointments etc.) via phone at (262) 832-4282.

Kelsey Dodd Kannookaden is licensed to practice in NU (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194313254.

Contact Information

Kelsey Dodd Kannookaden, PA-C
1100 Mercer Ave,
Decatur, IN 46733-2303
(262) 832-4282
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Dodd Kannookaden
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location1100 Mercer Ave, Decatur, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Dodd Kannookaden graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1194313254
  • Provider Enumeration Date: 01/05/2021
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456768225
  • Enrollment ID: I20210323000200

Medical Identifiers

Medical identifiers for Kelsey Dodd Kannookaden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194313254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adams Memorial HospitalDecatur, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adams County Memorial Hospital094119825385

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. Kelsey Dodd Kannookaden allows following entities to bill medicare on her behalf.
Entity NameCardiovascular Consultants PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538106711
PECOS PAC ID: 0143218677
Enrollment ID: O20040504000650
Entity NameAdams County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326
Entity NameAlliance Physician Partners Hospitalist Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538711098
PECOS PAC ID: 3274968243
Enrollment ID: O20200121002582

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. Kelsey Dodd Kannookaden 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 AddressPractice Location Address
Kelsey Dodd Kannookaden, PA-C
1100 Mercer Ave,
Decatur, IN 46733-2303

Ph: Not Available		Kelsey Dodd Kannookaden, PA-C
1100 Mercer Ave,
Decatur, IN 46733-2303

Ph: (262) 832-4282

Reviews and Comments


Physician Assistant Nurses in Decatur, IN

Edward Resendez, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    
Erin M Whitman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-728-3900    
Bradley D Boyle, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 955 High St, Ste 2, Decatur, IN 46733
Phone: 260-724-8700    Fax: 260-728-3821

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.