Dr Charles M Keoleian, MD in Marion, OH

Dr Charles M Keoleian, MD is a medicare enrolled "Urology" physician in Marion, Ohio. He went to Wayne State University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Dickinson County Healthcare System and his current practice location is 1040 Delaware Ave, Marion, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 383-7950.

Dr Charles M Keoleian is licensed to practice in Ohio (license number 35.140177) 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 1356325674.

Contact Information

	Dr Charles M Keoleian, MD
	1040 Delaware Ave, Marion, OH 43302-6416
	(740) 383-7950
	(740) 375-8164

Map and Direction

Physician's Profile

Full Name	Dr Charles M Keoleian
Gender	Male
Speciality	Urology
Experience	35 Years
Location	1040 Delaware Ave, Marion, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles M Keoleian attended and graduated from Wayne State University School Of Medicine in 1989

NPI Data:

NPI Number: 1356325674
Provider Enumeration Date: 11/30/2005
Last Update Date: 07/17/2020

Medicare PECOS Information:

PECOS PAC ID: 9537112149
Enrollment ID: I20070328000442

Medical Identifiers

Medical identifiers for Dr Charles M Keoleian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356325674	NPI	-	NPPES
10534	Other	MI	MCARE
133384	Other	MI	PREFERRED AND CARE CHOICE
4973505	Medicaid	MI
CK054366	Other	MI	BCBSM IDENTIFIER
4387203	Medicaid	MI
340634410-1	Other	MI	BCBSM INDIVIDUAL ID
340019725	Other	MI	RAILROAD MEDICARE
G14839	Other	MI	HAP
5281117	Other	MI	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	4301054366 (Michigan)	Secondary
208800000X	Urology	35.140177 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dickinson County Memorial Hospital	Iron mountain, MI	Hospital
Aspirus Iron River Hospital & Clinics, Inc	Iron river, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dickinson County Healthcare System	6800784943	69

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 Charles M Keoleian allows following entities to bill medicare on his behalf.

Entity Name	Dickinson County Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583

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 Charles M Keoleian 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 Charles M Keoleian, MD 5450 Frantz Rd Ste 360, Dublin, OH 43016-4141 Ph: () -	Dr Charles M Keoleian, MD 1040 Delaware Ave, Marion, OH 43302-6416 Ph: (740) 383-7950

Reviews and Comments

Urology Doctors in Marion, OH

Ms. Jennifer Chi-hwa Lam, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7950 Fax: 740-375-8164
David Fitkin, MD Urology Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7950 Fax: 740-383-7942
Roberto S Concepcion, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1040 Delaware Avenue, Marion, OH 43301 Phone: 740-383-7950 Fax: 740-375-8164

Dr Charles M Keoleian, MD - Medicare Urology in Marion, OH