Dr Mark Alvin Kellerman, MD - Medicare Urology in Clive, IA

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Dr Mark Alvin Kellerman, MD is a medicare enrolled "Urology" physician in Clive, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Center Of Iowa Pllc, Broadlawns Medical Center and his current practice location is 12129 University Ave Ste 100, Clive, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 400-3550.

Dr Mark Alvin Kellerman is licensed to practice in Iowa (license number MD-35053) 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 1891780995.

Contact Information

Dr Mark Alvin Kellerman, MD
12129 University Ave Ste 100,
Clive, IA 50325-8298
(515) 400-3550
(515) 400-3551

Map and Direction




Physician's Profile

Full NameDr Mark Alvin Kellerman
GenderMale
SpecialityUrology
Experience27 Years
Location12129 University Ave Ste 100, Clive, Iowa
Accepts Medicare AssignmentsYes. 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 Mark Alvin Kellerman attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1891780995
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 10/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517068851
  • Enrollment ID: I20070731000134

Medical Identifiers

Medical identifiers for Dr Mark Alvin Kellerman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891780995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD-35053 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Des Moines Medical CenterDes moines, IAHospital
Broadlawns Medical CenterDes moines, IAHospital
Guthrie County HospitalGuthrie center, IAHospital
Unitypoint Health - Des Moines Iowa Methodist MediDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urology Center Of Iowa Pllc165870183417
Broadlawns Medical Center3678466166219

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 Mark Alvin Kellerman allows following entities to bill medicare on his behalf.
Entity NameGuthrie County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1366414534
PECOS PAC ID: 6204745110
Enrollment ID: O20030414000048
Entity NamePella Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053369405
PECOS PAC ID: 9931005873
Enrollment ID: O20031210000914
Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913
Entity NameGuthrie County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366414534
PECOS PAC ID: 6204745110
Enrollment ID: O20040224001006
Entity NameUrology Center Of Iowa Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689210155
PECOS PAC ID: 1658701834
Enrollment ID: O20200501000900

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 Mark Alvin Kellerman 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 AddressPractice Location Address
Dr Mark Alvin Kellerman, MD
12129 University Ave Ste 100,
Clive, IA 50325-8298

Ph: (515) 400-3550		Dr Mark Alvin Kellerman, MD
12129 University Ave Ste 100,
Clive, IA 50325-8298

Ph: (515) 400-3550

Reviews and Comments


Urology Doctors in Clive, IA

Dr. Stephanie Lynn Courson Pothoven, DO
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12129 University Ave Ste 100, Clive, IA 50325
Phone: 515-400-3550    Fax: 515-400-3551
Dr. Mccabe Clayton Kenny, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12129 University Ave Ste 100, Clive, IA 50325
Phone: 515-400-3550    
Dr. Jacob Jipp, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12129 University Ave Ste 100, Clive, IA 50325
Phone: 515-400-3550    Fax: 515-400-3551
Dr. Brian L Gallagher, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12129 University Ave Ste 100, Clive, IA 50325
Phone: 515-400-3550    Fax: 515-400-3551
Dr. Hugh Charles Dick, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1432 Nw 105th St, Clive, IA 50325
Phone: 515-223-0639    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.