Dr Samuel Kellner, DPM - Medicare Podiatrist in Waterbury, CT

Dr Samuel Kellner, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Waterbury, Connecticut. He went to New York College Of Podiatric Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Hospital For Special Care, Waterbury Podiatry Consultants and his current practice location is 171 Grandview Ave Ste 104, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 753-2048.

Dr Samuel Kellner is licensed to practice in Connecticut (license number 001121) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386164077.

Contact Information

Dr Samuel Kellner, DPM
171 Grandview Ave Ste 104,
Waterbury, CT 06708-2517
(203) 753-2048
(203) 753-5891

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Kellner
GenderMale
SpecialityPodiatry
Experience7 Years
Location171 Grandview Ave Ste 104, Waterbury, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Kellner attended and graduated from New York College Of Podiatric Medicine in 2017
  NPI Data:
  • NPI Number: 1386164077
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163843657
  • Enrollment ID: I20230316001185

Medical Identifiers

Medical identifiers for Dr Samuel Kellner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386164077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 001121 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waterbury HospitalWaterbury, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital For Special Care781098563746
Waterbury Podiatry Consultants79110468832

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 Samuel Kellner allows following entities to bill medicare on his behalf.
Provider NameHospital For Special Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477534089
PECOS PAC ID: 7810985637
Enrollment ID: O20040506000578
Provider NameWaterbury Podiatry Consultants
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447430467
PECOS PAC ID: 7911046883
Enrollment ID: O20091207000132

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 Samuel Kellner 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
Dr Samuel Kellner, DPM
171 Grandview Ave Ste 104,
Waterbury, CT 06708-2517

Ph: (203) 753-2048
Dr Samuel Kellner, DPM
171 Grandview Ave Ste 104,
Waterbury, CT 06708-2517

Ph: (203) 753-2048

Reviews and Comments


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Waterbury Podiatry Consultants
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Medicare: Medicare Enrolled
Practice Location: 171 Grandview Ave, Suite 104, Waterbury, CT 06708
Phone: 203-753-2048    Fax: 203-753-5891

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.