Amber Marie Kellerman, NURSE PRACTITIONER in Pinckneyville, IL

Amber Marie Kellerman, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Pinckneyville, Illinois. Her current practice location is 5383 State Route 154, Pinckneyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 357-2187.

Amber Marie Kellerman is licensed to practice in Illinois (license number 209021588) 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 1689292997.

Contact Information

	Amber Marie Kellerman, NURSE PRACTITIONER
	5383 State Route 154, Pinckneyville, IL 62274-3342
	(618) 357-2187
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Marie Kellerman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5383 State Route 154, Pinckneyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689292997
Provider Enumeration Date: 07/13/2020
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2264856251
Enrollment ID: I20200723001409

Medical Identifiers

Medical identifiers for Amber Marie Kellerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689292997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209021588 (Illinois)	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. Amber Marie Kellerman allows following entities to bill medicare on her behalf.

Entity Name	Pinckneyville Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20040131000065

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. Amber Marie Kellerman 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
Amber Marie Kellerman, NURSE PRACTITIONER 5383 State Route 154, Pinckneyville, IL 62274-3342 Ph: (618) 357-2187	Amber Marie Kellerman, NURSE PRACTITIONER 5383 State Route 154, Pinckneyville, IL 62274-3342 Ph: (618) 357-2187

Reviews and Comments

Nurse Practitioner Nurses in Pinckneyville, IL

Mariah Kathryn Charles, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2131 Fax: 618-357-8844
Theresa Jane Debord, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5835 State Route 154 # Address2, Pinckneyville, IL 62274 Phone: 618-357-9722
Chelsea M. Kuhnert, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2187 Fax: 618-357-6247
Leah M. Hopp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2187
Katie Lynne Kristine Milton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5835 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-9722
Andrea Marie Epplin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5383 State Route 154, Family Medical Center, Pinckneyville, IL 62274 Phone: 618-357-2131 Fax: 618-357-8844

Amber Marie Kellerman, NURSE PRACTITIONER - Medicare Nurse Practitioner in Pinckneyville, IL