Dr Kellie Anne Amodeo, MD in Charleston, SC

Dr Kellie Anne Amodeo, MD is a medicare enrolled "Surgery" physician in Charleston, South Carolina. Her current practice location is 9291 Medical Plaza Dr, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 764-1730.

Dr Kellie Anne Amodeo is licensed to practice in South Carolina (license number 86257) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538515804.

Contact Information

	Dr Kellie Anne Amodeo, MD
	9291 Medical Plaza Dr, Charleston, SC 29406-9126
	(843) 764-1730
	(843) 764-1731

Map and Direction

Physician's Profile

Full Name	Dr Kellie Anne Amodeo
Gender	Female
Speciality	Surgery
Location	9291 Medical Plaza Dr, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538515804
Provider Enumeration Date: 05/05/2016
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9335414291
Enrollment ID: I20221114000106

Medical Identifiers

Medical identifiers for Dr Kellie Anne Amodeo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538515804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	86257 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	86257 (South Carolina)	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. Dr Kellie Anne Amodeo allows following entities to bill medicare on her behalf.

Entity Name	Tri-county Surgical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001

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 Kellie Anne Amodeo 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 Kellie Anne Amodeo, MD 9291 Medical Plaza Dr, Charleston, SC 29406-9126 Ph: (843) 764-1730	Dr Kellie Anne Amodeo, MD 9291 Medical Plaza Dr, Charleston, SC 29406-9126 Ph: (843) 764-1730

Reviews and Comments

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Dr Kellie Anne Amodeo, MD - Medicare Surgery in Charleston, SC