Matthew Kellough, PRS is a
Peer Specialist based in Lancaster, Ohio. Matthew Kellough is licensed to practice in Ohio (license number APS.003590) and his current practice location is
551 E Main St, Lancaster, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 404-6008.
NPI number for Matthew Kellough is 1265158273 and his current mailing address is Po Box 243, Sugar Grove, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265158273.
Healthcare Provider's Profile
| Full Name | Matthew Kellough |
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| Gender | Male |
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| Speciality | Peer Specialist |
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| Location | 551 E Main St, Lancaster, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265158273
- Provider Enumeration Date: 10/12/2022
- Last Update Date: 10/13/2022
Medical Identifiers
Medical identifiers for Matthew Kellough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265158273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | APS.003590 (Ohio) | Primary |
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. Matthew Kellough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Matthew Kellough, PRS
Po Box 243,
Sugar Grove, OH 43155-0243
Ph: (614) 404-6008 | Matthew Kellough, PRS
551 E Main St,
Lancaster, OH 43130-3809
Ph: (614) 404-6008 |
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