Randy Kellenberger, DO is a medicare enrolled "Emergency Medicine" physician in Atchison, Kansas. His current practice location is
800 Ravenhill Dr, Emergency Department, Atchison, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 360-5320.
Randy Kellenberger is licensed to practice in Missouri (license number R9G92) 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 1932186681.
Physician's Profile
Full Name | Randy Kellenberger |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 800 Ravenhill Dr, Atchison, Kansas |
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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: 1932186681
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 12/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 7012817927
- Enrollment ID: I20070827000381
Medical Identifiers
Medical identifiers for Randy Kellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932186681 | NPI | - | NPPES |
242720654 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | R9G92 (Missouri) | 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. Randy Kellenberger allows following entities to bill medicare on his behalf.
Entity Name | Salem Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114177557 PECOS PAC ID: 7012801129 Enrollment ID: O20040210000857 |
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Entity Name | Texas County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790740363 PECOS PAC ID: 9436041696 Enrollment ID: O20040401000307 |
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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. Randy Kellenberger 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 |
Randy Kellenberger, DO 16410 Riggs Rd, Stilwell, KS 66085-9128 Ph: (913) 681-3217 | Randy Kellenberger, DO 800 Ravenhill Dr, Emergency Department, Atchison, KS 66002-9204 Ph: (913) 360-5320 |
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