Mitchell William Kanellis, OD in Downers Grove, IL

Mitchell William Kanellis, OD is a medicare enrolled "Optometrist" provider in Downers Grove, Illinois. His current practice location is 3450 Lacey Rd, Downers Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 743-4500.

Mitchell William Kanellis is licensed to practice in Illinois (license number 046011732) 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 1144930298.

Contact Information

	Mitchell William Kanellis, OD
	3450 Lacey Rd, Downers Grove, IL 60515-5430
	(630) 743-4500
	(630) 743-4500

Map and Direction

Healthcare Provider's Profile

Full Name	Mitchell William Kanellis
Gender	Male
Speciality	Optometrist
Location	3450 Lacey Rd, Downers Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144930298
Provider Enumeration Date: 11/30/2022
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9931578937
Enrollment ID: I20221214001687

Medical Identifiers

Medical identifiers for Mitchell William Kanellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144930298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046011732 (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. Mitchell William Kanellis allows following entities to bill medicare on his behalf.

Provider Name	Southern College Of Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851384986 PECOS PAC ID: 4587550454 Enrollment ID: O20040226000558

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. Mitchell William Kanellis 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
Mitchell William Kanellis, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500	Mitchell William Kanellis, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500

Reviews and Comments

Optometrist in Downers Grove, IL

Carolyn Dienes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1412 Butterfield Rd, Downers Grove, IL 60515 Phone: 630-627-3001 Fax: 630-627-3021
Henna Asghar, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1402 Butterfield Rd, Butterfield Plaza, Downers Grove, IL 60515 Phone: 630-629-2025
Hardesty Eye Care Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Suite 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521
Daniel James Deligio, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacy Road, Downers Grove, IL 60515 Phone: 630-743-4500
Dr. Alison Faye Stock, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2934 Finley Rd, Downers Grove, IL 60515 Phone: 630-916-4770
Jessica N Conroy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacey Rd, Downers Grove, IL 60515 Phone: 630-743-4500 Fax: 630-743-4537
Dr. Linda S Weil, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521

Mitchell William Kanellis, OD - Medicare Optometrist in Downers Grove, IL