Mark J Kellen, MD | |
5875 E Riverside Blvd, Rockford, IL 61114-4937 | |
(815) 398-9491 | |
(815) 381-7498 |
Full Name | Mark J Kellen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 5875 E Riverside Blvd, Rockford, Illinois |
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 |
---|---|---|---|
1023178647 | NPI | - | NPPES |
036097446 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036-097446 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint James Hospital | Pontiac, IL | Hospital |
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Health Physicians | 2567374036 | 304 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Medical Center Anesthesiologists, P.c. | 4082527270 | 65 |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Orthomidwest Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mark J Kellen, MD Po Box 735263, Chicago, IL 60673-5263 Ph: () - | Mark J Kellen, MD 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4000 Fax: 815-971-9985 | |
Alan G Mowbray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-4000 | |
John N. Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114 Phone: 815-633-8545 | |
Dr. Vishrut P. Naik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 | |
Adam Soliman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. William Stephen Minore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 Fax: 815-229-0050 |