Dr Michael David Kelleman, OD in Newington, CT - Medicare Optometrist Provider

Dr Michael David Kelleman, OD is a medicare enrolled "Optometrist" provider in Newington, Connecticut. His current practice location is 555 Willard Ave, Eye Clinic, Newington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (908) 812-4345.

Dr Michael David Kelleman is licensed to practice in Connecticut (license number 2965) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669843462.

Contact Information

	Dr Michael David Kelleman, OD
	555 Willard Ave, Eye Clinic, Newington, CT 06111-2631
	(908) 812-4345
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael David Kelleman
Gender	Male
Speciality	Optometrist
Location	555 Willard Ave, Newington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669843462
Provider Enumeration Date: 10/19/2015
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5890051734
Enrollment ID: I20221020000755

Medical Identifiers

Medical identifiers for Dr Michael David Kelleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669843462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2965 (Connecticut)	Primary

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. Dr Michael David Kelleman allows following entities to bill medicare on his behalf.

Provider Name	Charter Oak Health Center, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909

Provider Name	Oculusdocs Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407490055 PECOS PAC ID: 0547694465 Enrollment ID: O20200102000580

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. Dr Michael David Kelleman 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
Dr Michael David Kelleman, OD 555 Willard Ave, Eye Clinic, Newington, CT 06111-2631 Ph: (908) 812-4345	Dr Michael David Kelleman, OD 555 Willard Ave, Eye Clinic, Newington, CT 06111-2631 Ph: (908) 812-4345

Reviews and Comments

Optometrist in Newington, CT

Dr. Mitchel Boyd Strand, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 485 Willard Ave, Newington, CT 06111 Phone: 860-666-7053 Fax: 860-666-7083
Eyeconic Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2311 Berlin Tpke, Newington, CT 06111 Phone: 860-667-0921
Dr. Tracey Lynn Asmus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2691 Berlin Tpke, Newington, CT 06111 Phone: 860-594-4585 Fax: 860-667-4377
Janelle C Fern, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 262 Brockett St, Newington, CT 06111 Phone: 860-667-2020 Fax: 860-667-0770
Nguyen Tran, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 262 Brockett St, Newington, CT 06111 Phone: 860-667-2020 Fax: 860-667-0770
Dr. Leonard John Oshinskie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 555 Willard Ave, Optometry Clinic, Newington, CT 06111 Phone: 860-667-6742 Fax: 860-667-6833
Dr. Eric L Cropper, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3164 Berlin Tpke, Newington, CT 06111 Phone: 860-667-1302

Dr Michael David Kelleman, OD - Medicare Optometrist in Newington, CT