Michael J Kellis, DO - Medicare Sports Medicine in Chardon, OH

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Michael J Kellis, DO is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Chardon, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Beacon Orthopaedics And Sports Medicine Ltd and his current practice location is 150 Seventh Ave Ste 200, Chardon, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 285-4999.

Michael J Kellis is licensed to practice in Ohio (license number 34004183) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831190313.

Contact Information

Michael J Kellis, DO
150 Seventh Ave Ste 200,
Chardon, OH 44024-2909
(440) 285-4999
(402) 855-8704

Map and Direction




Physician's Profile

Full NameMichael J Kellis
GenderMale
SpecialitySports Medicine
Experience39 Years
Location150 Seventh Ave Ste 200, Chardon, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael J Kellis attended and graduated from Ohio University, College Of Osteopathic Medicine in 1985
  NPI Data:
  • NPI Number: 1831190313
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 11/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577547033
  • Enrollment ID: I20050407000581

Medical Identifiers

Medical identifiers for Michael J Kellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831190313NPI-NPPES
139662OtherOHANTHEM
250006704OtherOHRR MEDICARE
0658051MedicaidOH
4073792OtherOHAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0010XInternal Medicine - Sports Medicine 34004183 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital
Uh Regional HospitalsRichmond heights, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Orthopaedics And Sports Medicine Ltd0345136412428

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 J Kellis allows following entities to bill medicare on his behalf.
Entity NameBeacon Orthopaedics & Sports Medicine Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386670065
PECOS PAC ID: 0345136412
Enrollment ID: O20040225000690
Entity NamePrecision Orthopaedic Specialties, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649257973
PECOS PAC ID: 4880678325
Enrollment ID: O20040614001294

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 J Kellis 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 AddressPractice Location Address
Michael J Kellis, DO
6480 Harrison Ave Ste 201,
Cincinnati, OH 45247-7961

Ph: (440) 285-4999		Michael J Kellis, DO
150 Seventh Ave Ste 200,
Chardon, OH 44024-2909

Ph: (440) 285-4999

Reviews and Comments


Internal Medicine Doctors in Chardon, OH

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Agustus A Beck, MD
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Dr. Terrence George Foley, M.D.
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Charles Yenwei Peng, M.D.
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Dr. Stephen James Burgun, M.D.
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Phone: 440-285-3621    Fax: 440-285-3625

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.