David M Kellerhals, BA in Mattoon, IL - Medicare Counselor Provider

David M Kellerhals, BA is a medicare enrolled "Counselor - Mental Health" provider in Mattoon, Illinois. His current practice location is 750 Broadway Ave E, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 238-5700.

David M Kellerhals is licensed to practice in * (Not Available) (license number ) 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 1780984237.

Contact Information

	David M Kellerhals, BA
	750 Broadway Ave E, Mattoon, IL 61938-4610
	(217) 238-5700
	(217) 238-5767

Map and Direction

Healthcare Provider's Profile

Full Name	David M Kellerhals
Gender	Male
Speciality	Counselor - Mental Health
Location	750 Broadway Ave E, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780984237
Provider Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010

Medicare PECOS Information:

PECOS PAC ID: 0749625804
Enrollment ID: I20240228002099

Medical Identifiers

Medical identifiers for David M Kellerhals such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780984237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. David M Kellerhals allows following entities to bill medicare on his behalf.

Entity Name	Rosecrance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371

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. David M Kellerhals 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
David M Kellerhals, BA 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700	David M Kellerhals, BA 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700

Reviews and Comments

Counselor in Mattoon, IL

Kiaya Loy, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700
Nerissa Jones, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5735
Jessica Milburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Taylor Downey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700
Bonnie K. Mcdade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Allen M. Creamean, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Madeleine Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700

David M Kellerhals, BA - Medicare Counselor in Mattoon, IL