Dr Lisa Kellman, DO in Marina Del Rey, CA - Medicare Emergency Medicine

Dr Lisa Kellman, DO is a medicare enrolled "Emergency Medicine" physician in Marina Del Rey, California. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1983 and has 41 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Regents University Of California and her current practice location is 4560 Admiralty Way Ste 100, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 656-1770.

Dr Lisa Kellman is licensed to practice in California (license number 20A5062) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821164690.

Contact Information

	Dr Lisa Kellman, DO
	4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424
	(310) 656-1770
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa Kellman
Gender	Female
Speciality	Emergency Medicine
Experience	41 Years
Location	4560 Admiralty Way Ste 100, Marina Del Rey, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lisa Kellman attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1983

NPI Data:

NPI Number: 1821164690
Provider Enumeration Date: 11/25/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5092885251
Enrollment ID: I20080530000790

Medical Identifiers

Medical identifiers for Dr Lisa Kellman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821164690	NPI	-	NPPES
00AX50620	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	20A5062 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents University Of California	4082895677	4

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 Lisa Kellman allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Shen Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457427221 PECOS PAC ID: 8527164482 Enrollment ID: O20070509000575

Entity Name	Regents University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710287297 PECOS PAC ID: 4082895677 Enrollment ID: O20110302000795

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 Lisa Kellman 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 Lisa Kellman, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Dr Lisa Kellman, DO 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 656-1770

Reviews and Comments

Emergency Medicine Doctors in Marina Del Rey, CA

Dr. Edward J. Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379
Barry J Borm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Dr. Timothy C Bullard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 108-273-7003
Paula Gonella, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Dr. Kirsten Elizabeth Mewaldt, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292 Phone: 626-354-4874 Fax: 650-723-0121
Dr. Niloufar Naima, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Tahiti Way Apt 201, Marina Del Rey, CA 90292 Phone: 925-497-2366
Ryan Yavorsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379

Dr Lisa Kellman, DO - Medicare Emergency Medicine in Marina Del Rey, CA