Dr Lisa Kellman, DO - Medicare Emergency Medicine in Marina Del Rey, CA

Dr Lisa Kellman, DO is a medicare enrolled "Emergency Medicine" physician in Marina Del Rey, California. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1983 and has 41 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Regents University Of California and her current practice location is 4560 Admiralty Way Ste 100, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 656-1770.

Dr Lisa Kellman is licensed to practice in California (license number 20A5062) 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 1821164690.

Contact Information

Dr Lisa Kellman, DO
4560 Admiralty Way Ste 100,
Marina Del Rey, CA 90292-5424
(310) 656-1770
Not Available



Physician's Profile

Full NameDr Lisa Kellman
GenderFemale
SpecialityEmergency Medicine
Experience41 Years
Location4560 Admiralty Way Ste 100, Marina Del Rey, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Kellman attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1983
  NPI Data:
  • NPI Number: 1821164690
  • Provider Enumeration Date: 11/25/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092885251
  • Enrollment ID: I20080530000790

Medical Identifiers

Medical identifiers for Dr Lisa Kellman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821164690NPI-NPPES
00AX50620MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A5062 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta monica, CAHospital
Ronald Reagan Ucla Medical CenterLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents University Of California40828956774

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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. Dr Lisa Kellman allows following entities to bill medicare on her behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439

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Entity NameShen Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457427221
PECOS PAC ID: 8527164482
Enrollment ID: O20070509000575

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Entity NameRegents University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710287297
PECOS PAC ID: 4082895677
Enrollment ID: O20110302000795

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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. Dr Lisa Kellman 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 AddressPractice Location Address
Dr Lisa Kellman, DO
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: (310) 301-8707
Dr Lisa Kellman, DO
4560 Admiralty Way Ste 100,
Marina Del Rey, CA 90292-5424

Ph: (310) 656-1770

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Emergency Medicine Doctors in Marina Del Rey, CA

Dr. Christopher Donald Warner, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292
Phone: 310-827-3700    Fax: 310-578-5379
Dr. Edward J. Chung, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292
Phone: 310-827-3700    Fax: 310-578-5379
Barry J Borm, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-823-8911    
Dr. Timothy C Bullard, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292
Phone: 108-273-7003    
Paula Gonella, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-823-8911    
Dr. Kirsten Elizabeth Mewaldt, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292
Phone: 626-354-4874    Fax: 650-723-0121
Dr. Niloufar Naima, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 310 Tahiti Way Apt 201, Marina Del Rey, CA 90292
Phone: 925-497-2366    

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