Nicole C Kelleher, MD in Northridge, CA - Medicare Physical Medicine & Rehabilitation

Nicole C Kelleher, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Northridge, California. Her current practice location is 18460 Roscoe Blvd Fl 2, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 885-5480.

Nicole C Kelleher is licensed to practice in California (license number A165046) 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 1972946747.

Contact Information

	Nicole C Kelleher, MD
	18460 Roscoe Blvd Fl 2, Northridge, CA 91325-4107
	(818) 885-5480
	(818) 993-1917

Map and Direction

Physician's Profile

Full Name	Nicole C Kelleher
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	18460 Roscoe Blvd Fl 2, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972946747
Provider Enumeration Date: 04/11/2013
Last Update Date: 04/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1355570128
Enrollment ID: I20171228002466

Medical Identifiers

Medical identifiers for Nicole C Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972946747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	A165046 (California)	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. Nicole C Kelleher allows following entities to bill medicare on her behalf.

Entity Name	University Of Virginia Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780

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. Nicole C 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
Nicole C Kelleher, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Nicole C Kelleher, MD 18460 Roscoe Blvd Fl 2, Northridge, CA 91325-4107 Ph: (818) 885-5480

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Northridge, CA

Mr. Kevin J Pidgeon, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-727-1451
Thomas L. Hedge Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5342 Fax: 818-727-1451
Babak Bina, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18460 Roscoe Blvd Fl 3, Northridge, CA 91325 Phone: 818-885-5480 Fax: 818-993-1917
Dr. Aral M Sezginis, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18460 Roscoe Blvd Fl 2, Northridge, CA 91325 Phone: 916-379-2861
Alex Ling Lin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 714-362-5590
Sherif Taha Elamir, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5342 Fax: 818-727-1451
Robert G Galbraith, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9545 Reseda Blvd, #4, Northridge, CA 91324 Phone: 818-993-3151 Fax: 818-344-1739

Nicole C Kelleher, MD - Medicare Physical Medicine & Rehabilitation in Northridge, CA