Kellie L Mathis, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Rochester, Minnesota. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Mayo Clinic and her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Kellie L Mathis is licensed to practice in Minnesota (license number 46790) 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 1770563975.
Physician's Profile
Full Name | Kellie L Mathis |
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Gender | Female |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 22 Years |
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Location | 200 1st St Sw, Rochester, Minnesota |
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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:
- Kellie L Mathis attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2003
NPI Data:
- NPI Number: 1770563975
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 08/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830162023
- Enrollment ID: I20040816001337
Medical Identifiers
Medical identifiers for Kellie L Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770563975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | 46790 (Minnesota) | Secondary |
208C00000X | Colon & Rectal Surgery | 46790 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mayo Clinic | 6507778255 | 4266 |
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 L Mathis allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
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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 L Mathis 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 |
Kellie L Mathis, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kellie L Mathis, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
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