Stacye Kellermann, in Chicago, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Stacye Kellermann, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chicago, Illinois. She went to Georgetown University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice The Board Of Trustees Of The University Of Illinois and her current practice location is 1740 W Taylor St Ste 3200w, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 996-4022.

Stacye Kellermann is licensed to practice in Illinois (license number 209.017235) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831698646.

Contact Information

	Stacye Kellermann,
	1740 W Taylor St Ste 3200w, Chicago, IL 60612-7232
	(312) 996-4022
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacye Kellermann
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	1740 W Taylor St Ste 3200w, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacye Kellermann attended and graduated from Georgetown University School Of Medicine in 2017

NPI Data:

NPI Number: 1831698646
Provider Enumeration Date: 02/07/2018
Last Update Date: 02/07/2018

Medicare PECOS Information:

PECOS PAC ID: 1052673118
Enrollment ID: I20180329002094

Medical Identifiers

Medical identifiers for Stacye Kellermann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831698646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.017235 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Illinois Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923

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. Stacye Kellermann allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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. Stacye Kellermann 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
Stacye Kellermann, 31 Blondell Ct, Lutherville, MD 21093-2003 Ph: (443) 845-3232	Stacye Kellermann, 1740 W Taylor St Ste 3200w, Chicago, IL 60612-7232 Ph: (312) 996-4022

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Chicago, IL

Mrs. Bonnie Devroe Malik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Debra Farida, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-975-1600
Shannon R Galvin, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611 Phone: 312-695-0061 Fax: 312-695-9013
Flordelina B Corpus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6705
Mr. Jeremy Philip Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611 Phone: 312-926-8369
Christopher Glenn, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612 Phone: 312-996-4020
Christopher Payne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-6000

Stacye Kellermann, - Medicare Certified Registered Nurse Anesthetist (crna) in Chicago, IL