Bryan J Kellenberger, MD is a medicare enrolled "Family Medicine" physician in Sherman, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Springfield Clinic Llp and his current practice location is
400 Saint Johns Dr, Sherman, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 528-7541.
Bryan J Kellenberger is licensed to practice in Illinois (license number 036125353) 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 1275733073.
Physician's Profile
| Full Name | Bryan J Kellenberger |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 400 Saint Johns Dr, Sherman, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bryan J Kellenberger attended and graduated from Southern Illinois University School Of Medicine in 2010
NPI Data:
- NPI Number: 1275733073
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729268552
- Enrollment ID: I20110210000525
Medical Identifiers
Medical identifiers for Bryan J Kellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275733073 | NPI | - | NPPES |
| 036125353 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036125353 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Clinic Llp | 0547166076 | 673 |
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. Bryan J Kellenberger allows following entities to bill medicare on his behalf.
| Entity Name | Springfield Clinic Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826 |
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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. Bryan J Kellenberger 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 |
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Bryan J Kellenberger, MD
1025 S 6th St,
Springfield, IL 62703-2403
Ph: (217) 528-7541 | Bryan J Kellenberger, MD
400 Saint Johns Dr,
Sherman, IL 62684-9779
Ph: (217) 528-7541 |
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