Dr Ricky Kellenberger, DO | |
202 State St, Suite A, Fort Scott, KS 66701-2031 | |
(620) 223-3950 | |
(620) 223-1302 |
Full Name | Dr Ricky Kellenberger |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 202 State St, Fort Scott, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700864568 | NPI | - | NPPES |
245111802 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2000157954 (Missouri) | Secondary |
207Q00000X | Family Medicine | 05-19720 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Chanute, KS | Home health agency |
Ascension At Home | Pittsburg, KS | Home health agency |
Avalon Hospice (pittsburg) | Pittsburg, KS | Hospice |
Nevada Regional Medical Center | Nevada, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nevada City Hospital | 9830095280 | 56 |
Fort Scott Family Medicine Pa | 5991737512 | 2 |
Entity Name | Nevada City Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942283866 PECOS PAC ID: 9830095280 Enrollment ID: O20031208001009 |
Entity Name | Freeman-oak Hill Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040914000356 |
Mailing Address | Practice Location Address |
---|---|
Dr Ricky Kellenberger, DO 202 State St, Suite A, Fort Scott, KS 66701-2031 Ph: (620) 223-3950 | Dr Ricky Kellenberger, DO 202 State St, Suite A, Fort Scott, KS 66701-2031 Ph: (620) 223-3950 |
Dr. Pankaj Gugnani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2322 S Main St, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8002 | |
Dr. Maxwell James Self, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2322 S Main St, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8002 | |
Dr. Roger Parris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8524 | |
Dr. Katrina M. Burke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S. Main Street, Fort Scott, KS 66701 Phone: 620-224-2627 Fax: 620-224-2453 | |
Robert R Nichols, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 620-223-8040 Fax: 620-223-8524 | |
Kinede Jennings, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 S Main St, Fort Scott, KS 66701 Phone: 620-215-1435 |