Dr Nickelle Anne Kellough, OD in Hollywood, FL

Dr Nickelle Anne Kellough, OD is a medicare enrolled "Optometrist" provider in Hollywood, Florida. She graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice North Florida Surgeons, Pa and her current practice location is 300 S Park Rd Ste 300, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 925-2740.

Dr Nickelle Anne Kellough is licensed to practice in Florida (license number OPC3480) 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 1669600102.

Contact Information

	Dr Nickelle Anne Kellough, OD
	300 S Park Rd Ste 300, Hollywood, FL 33021-8353
	(954) 925-2740
	(954) 923-8379

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nickelle Anne Kellough
Gender	Female
Speciality	Optometry
Experience	26 Years
Location	300 S Park Rd Ste 300, Hollywood, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nickelle Anne Kellough graduated from medical school in 2000

NPI Data:

NPI Number: 1669600102
Provider Enumeration Date: 06/23/2009
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 2769472349
Enrollment ID: I20040515000034

Medical Identifiers

Medical identifiers for Dr Nickelle Anne Kellough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669600102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC3480 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Florida Surgeons, Pa	2769381391	316

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 Nickelle Anne Kellough allows following entities to bill medicare on her behalf.

Provider Name	North Florida Surgeons, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629

Provider Name	Dr. Ted Brink And Associates Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427138650 PECOS PAC ID: 6800936360 Enrollment ID: O20091215000370

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 Nickelle Anne Kellough 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 Nickelle Anne Kellough, OD 300 S Park Rd Ste 300, Hollywood, FL 33021-8353 Ph: (954) 925-2740	Dr Nickelle Anne Kellough, OD 300 S Park Rd Ste 300, Hollywood, FL 33021-8353 Ph: (954) 925-2740

Reviews and Comments

Optometrist in Hollywood, FL

Julianna Hayes, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1050 N Federal Hwy, Hollywood, FL 33020 Phone: 954-458-2112
Maggie Yamin, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4330 Sheridan St Ste 102b, Hollywood, FL 33021 Phone: 754-231-1632
Oakwood Vision Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2914 Oakwood Blvd, Hollywood, FL 33020 Phone: 954-921-5330
Keri M Pomella, Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5700 Stirling Rd Ste 300, Hollywood, FL 33021 Phone: 954-989-3333 Fax: 786-762-2926
Tonika Lovone, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S State Road 7, Hollywood, FL 33023 Phone: 754-260-6709
James M Beranek Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 4340 Sheridan St Ste 102, Hollywood, FL 33021 Phone: 954-987-6500 Fax: 954-966-2020
Dr. James Matthew Beranek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3277 Hollywood Blvd, Hollywood, FL 33021 Phone: 954-987-6500 Fax: 954-966-2020

Dr Nickelle Anne Kellough, OD - Medicare Optometrist in Hollywood, FL