D Michael Kellam, MD - Medicare Radiology in Cheyenne, WY

D Michael Kellam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cheyenne, Wyoming. His current practice location is 800 E 20th St, Suite 110, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 634-7711.

D Michael Kellam is licensed to practice in Wyoming (license number 4219A) 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 1982648937.

Contact Information

D Michael Kellam, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859
(307) 634-7711
Not Available

Map and Direction




Physician's Profile

Full NameD Michael Kellam
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location800 E 20th St, Cheyenne, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982648937
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941192835
  • Enrollment ID: I20101208000034

Medical Identifiers

Medical identifiers for D Michael Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982648937NPI-NPPES
306010OtherWYBCBS OF WYOMING CRG
91042192MedicaidCO
104015400MedicaidWY
303602OtherWYBCBS OF WYOMING MRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4219A (Wyoming)Primary
2085R0202XRadiology - Diagnostic Radiology 26458 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 21264 (Nebraska)Secondary

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. D Michael Kellam allows following entities to bill medicare on his behalf.
Entity NameCheyenne Mri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689613572
PECOS PAC ID: 6507756798
Enrollment ID: O20040319000673
Entity NameCheyenne Radiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023056082
PECOS PAC ID: 1951293844
Enrollment ID: O20040607000625
Entity NameCwip Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154774529
PECOS PAC ID: 0840588752
Enrollment ID: O20161010000699

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. D Michael Kellam 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
D Michael Kellam, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859

Ph: (307) 634-7711
D Michael Kellam, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859

Ph: (307) 634-7711

Reviews and Comments


Radiology Doctors in Cheyenne, WY

William D Ketcham, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001
Phone: 307-634-7711    
James G Hubbard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001
Phone: 307-634-7711    
Eric Richard Hoyer, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Bluegrass Circle, Cheyenne, WY 82009
Phone: 307-634-7711    
Subashini T Furman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 310 E 24th St, Cheyenne, WY 82001
Phone: 307-634-9311    Fax: 307-634-5627
Mrs. Sarah Elizabeth Matney, RT (R) (CT)
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 214 E 23rd St, Cheyenne, WY 82001
Phone: 307-634-7800    
Dr. Jeffrey C Carlton, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 214 E 23rd St, Cheyenne, WY 82001
Phone: 307-633-7823    Fax: 307-633-7818
Dr. Donald Wesley Cain, M.D., M.S.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Bluegrass Cir, Cheyenne, WY 82009
Phone: 307-634-7711    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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