Michael B Kelleher, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in East Syracuse, New York. His current practice location is
4939 Brittonfield Pkwy, 209, East Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 218-0085.
Michael B Kelleher is licensed to practice in New York (license number 196028) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851475800.
Physician's Profile
Full Name | Michael B Kelleher |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 4939 Brittonfield Pkwy, East Syracuse, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851475800
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 03/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688648199
- Enrollment ID: I20040820001052
Medical Identifiers
Medical identifiers for Michael B Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851475800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 196028 (New York) | 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. Michael B Kelleher allows following entities to bill medicare on his behalf.
Entity Name | Associated Gastroenterologists Of Central New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013938174 PECOS PAC ID: 3375512213 Enrollment ID: O20040928000914 |
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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. Michael B Kelleher 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 |
Michael B Kelleher, MD 4939 Brittonfield Pkwy Ste 209, East Syracuse, East Syracuse, NY 13057-9208 Ph: (315) 218-0085 | Michael B Kelleher, MD 4939 Brittonfield Pkwy, 209, East Syracuse, NY 13057-9208 Ph: (315) 218-0085 |
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