Dr Kellie Patricia Kornmiller, AUD in Dearborn, MI

Dr Kellie Patricia Kornmiller, AUD is a medicare enrolled "Audiologist" provider in Dearborn, Michigan. Her current practice location is 15212 Michigan Ave, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 582-8852.

Dr Kellie Patricia Kornmiller is licensed to practice in Michigan (license number 1601000476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518116862.

Contact Information

	Dr Kellie Patricia Kornmiller, AUD
	15212 Michigan Ave, Dearborn, MI 48126-3497
	(313) 582-8852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kellie Patricia Kornmiller
Gender	Female
Speciality	Audiologist
Location	15212 Michigan Ave, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518116862
Provider Enumeration Date: 09/11/2008
Last Update Date: 09/11/2008

Medicare PECOS Information:

PECOS PAC ID: 6002970811
Enrollment ID: I20090122000554

Medical Identifiers

Medical identifiers for Dr Kellie Patricia Kornmiller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518116862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	1601000476 (Michigan)	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 Kellie Patricia Kornmiller allows following entities to bill medicare on her behalf.

Provider Name	Henry Ford Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699851618 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000455

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 Kellie Patricia Kornmiller 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 Kellie Patricia Kornmiller, AUD 15212 Michigan Ave, Dearborn, MI 48126-3497 Ph: (313) 582-8852	Dr Kellie Patricia Kornmiller, AUD 15212 Michigan Ave, Dearborn, MI 48126-3497 Ph: (313) 582-8852

Reviews and Comments

Audiologist in Dearborn, MI

Serafina Romano, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 22731 Newman St, Ste 120, Dearborn, MI 48124 Phone: 313-582-8852
Mrs. Kelly Ann Zilli, AUD DOCTOR OF AUDIOL Audiologist Medicare: Medicare Enrolled Practice Location: 2421 Monroe St, Ste 202, Dearborn, MI 48124 Phone: 313-562-4485 Fax: 313-562-0447
Midwest Health Center Pc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5050 Schaefer Rd, Dearborn, MI 48126 Phone: 313-581-2600 Fax: 313-581-0228
Doryce Iverson, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2421 Monroe St, 202, Dearborn, MI 48124 Phone: 313-562-4485
Colleen M Martin, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5050 Schaefer Rd, Dearborn, MI 48126 Phone: 313-581-2600 Fax: 313-581-0228
Dr. Eileen Marie Bessega, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1937 Golfview Dr, Dearborn, MI 48128 Phone: 313-530-9774
Dr. Tracy Ann Rudd, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Suite 402, Dearborn, MI 48124 Phone: 313-253-0800 Fax: 313-577-8555

Dr Kellie Patricia Kornmiller, AUD - Medicare Audiologist in Dearborn, MI