Kellie Chiu, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Southampton, Pennsylvania. Her current practice location is
45 Second Street Pike, Southampton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(800) 818-4747.
Kellie Chiu is licensed to practice in Pennsylvania (license number MD477605) 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 1619339850.
Physician's Profile
| Full Name | Kellie Chiu |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 45 Second Street Pike, Southampton, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619339850
- Provider Enumeration Date: 03/27/2016
- Last Update Date: 02/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880969781
- Enrollment ID: I20220823002636
Medical Identifiers
Medical identifiers for Kellie Chiu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619339850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 309561 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA11474600 (New Jersey) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME161054 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | C1-0025071 (Delaware) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD477605 (Pennsylvania) | 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. Kellie Chiu allows following entities to bill medicare on her behalf.
| Entity Name | Radiology Affiliates Of Central New Jersey P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811994791
PECOS PAC ID: 1759277239
Enrollment ID: O20040223000732 |
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| Entity Name | Hr Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881696698
PECOS PAC ID: 0042109902
Enrollment ID: O20040311000028 |
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| Entity Name | Imaging Group Of Delaware Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164421574
PECOS PAC ID: 0547152472
Enrollment ID: O20170511000263 |
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| Entity Name | Mori Bean And Brooks Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20200226001916 |
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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. Kellie Chiu 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 |
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Kellie Chiu,
Po Box 787512,
Philadelphia, PA 19178-7512
Ph: () - | Kellie Chiu,
45 Second Street Pike,
Southampton, PA 18966-3822
Ph: (800) 818-4747 |
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