Kyle Kallenbach, MD - Medicare Diagnostic Radiology in Glen Ellyn, IL

Kyle Kallenbach, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Glen Ellyn, Illinois. He went to Rush Medical College Of Rush University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Dupage Medical Group Ltd, The South Bend Clinic Llc and his current practice location is 430 Pennsylvania Ave, Glen Ellyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 469-9200.

Kyle Kallenbach is licensed to practice in Illinois (license number 036105204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477529626.

Contact Information

Kyle Kallenbach, MD
430 Pennsylvania Ave,
Glen Ellyn, IL 60137-4464
(630) 469-9200
Not Available



Physician's Profile

Full NameKyle Kallenbach
GenderMale
SpecialityDiagnostic Radiology
Experience28 Years
Location430 Pennsylvania Ave, Glen Ellyn, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Kallenbach attended and graduated from Rush Medical College Of Rush University in 1996
  NPI Data:
  • NPI Number: 1477529626
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991690844
  • Enrollment ID: I20040218001105

Medical Identifiers

Medical identifiers for Kyle Kallenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477529626NPI-NPPES
036105204MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036105204 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Medical Group Ltd54966679411209
The South Bend Clinic Llc3779577937174

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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. Kyle Kallenbach allows following entities to bill medicare on his behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535

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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. Kyle Kallenbach 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
Kyle Kallenbach, MD
Po Box 713260,
Chicago, IL 60677-1260

Ph: (630) 469-9200
Kyle Kallenbach, MD
430 Pennsylvania Ave,
Glen Ellyn, IL 60137-4464

Ph: (630) 469-9200

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Radiology Doctors in Glen Ellyn, IL

Dr. Lekshmi Nair, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Pennsylvania Ave # 110, Glen Ellyn, IL 60137
Phone: 630-946-2020    
Mary Lyn Kurland, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137
Phone: 630-469-9200    
Dr. Ehsan Safari, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Pennsylvania Ave, 110, Glen Ellyn, IL 60137
Phone: 630-545-7880    
Kimberly Klinger, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL 60137
Phone: 630-946-2020    Fax: 630-432-6754
Linda Gruener, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137
Phone: 630-469-9200    
Sabira Khalil, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137
Phone: 630-469-9200    

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