Kelly J Roush Icenhower, DC in Gallipolis, OH - Medicare Chiropractic Provider

Kelly J Roush Icenhower, DC is a medicare enrolled "Chiropractor" provider in Gallipolis, Ohio. She went to Palmer College Chiropractic - West Sunnyvale and graduated in 1996 and has 28 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Holzer Clinic Llc, Holzer Clinic Llc and her current practice location is 1051 4th Ave, Gallipolis, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 446-5244.

Kelly J Roush Icenhower is licensed to practice in Ohio (license number 2510) 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 1629018320.

Contact Information

	Kelly J Roush Icenhower, DC
	1051 4th Ave, Gallipolis, OH 45631-1612
	(740) 446-5244
	(740) 446-5565

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly J Roush Icenhower
Gender	Female
Speciality	Chiropractic
Experience	28 Years
Location	1051 4th Ave, Gallipolis, Ohio
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:

Kelly J Roush Icenhower attended and graduated from Palmer College Chiropractic - West Sunnyvale in 1996

NPI Data:

NPI Number: 1629018320
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 4789775909
Enrollment ID: I20070802000213

Medical Identifiers

Medical identifiers for Kelly J Roush Icenhower such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629018320	NPI	-	NPPES
350039394	Other		RR MEDICARE
000000185276	Other	OH	UNISON MEDICAID
2026677	Medicaid	OH
000000007692	Other		ANTHEM BCBS
0132242000	Medicaid	WV
001714092	Other		MOUNTAIN STATE BCBS
310917085149	Other	OH	CARESOURCE MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	2510 (West Virginia)	Secondary
111N00000X	Chiropractor	2510 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holzer Clinic Llc	5890606008	264
Holzer Clinic Llc	5890606008	264

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. Kelly J Roush Icenhower allows following entities to bill medicare on her behalf.

Provider Name	Holzer Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746

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. Kelly J Roush Icenhower 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
Kelly J Roush Icenhower, DC 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5244	Kelly J Roush Icenhower, DC 1051 4th Ave, Gallipolis, OH 45631-1612 Ph: (740) 446-5244

Reviews and Comments

Chiropractor in Gallipolis, OH

Mrs. Aubrey Devin Lane, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 990 2nd Ave, Gallipolis, OH 45631 Phone: 740-441-0200 Fax: 740-441-1907
Dr. Christopher Barry Wilcoxon, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 228 Upper River Road, Gallipolis, OH 45631 Phone: 740-446-3836 Fax: 740-446-3790
Gallipolis Chiropractic And Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 990 2nd Ave, Gallipolis, OH 45631 Phone: 740-441-0200 Fax: 740-441-1907
Dr. Joey David Wilcoxon, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 990 2nd Ave, Gallipolis, OH 45631 Phone: 740-441-0200 Fax: 740-441-1907
Dr. James Matthew Wellington, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 271 State Route 7 N, Gallipolis, OH 45631 Phone: 740-446-6965 Fax: 740-446-7391
Dr. Stephen Lee Wilcoxon, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 228 Upper River Rd, Gallipolis, OH 45631 Phone: 174-044-6383 Fax: 174-044-6379

Kelly J Roush Icenhower, DC - Medicare Chiropractor in Gallipolis, OH