Dr Paul David Kellam Jr, MD is a medicare enrolled "Otolaryngology" physician in Dublin, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Dublin Ear Nose And Throat Associates, P.c. and his current practice location is
102 Fairview Park Dr, Dublin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 272-8382.
Dr Paul David Kellam Jr is licensed to practice in Georgia (license number 034168) 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 1760554877.
Physician's Profile
| Full Name | Dr Paul David Kellam Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 35 Years |
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| Location | 102 Fairview Park Dr, Dublin, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul David Kellam Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1989
NPI Data:
- NPI Number: 1760554877
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214007194
- Enrollment ID: I20080623000230
Medical Identifiers
Medical identifiers for Dr Paul David Kellam Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760554877 | NPI | - | NPPES |
| 000608924A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 034168 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dublin Ear Nose And Throat Associates, P.c. | 3779653654 | 3 |
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 Paul David Kellam Jr allows following entities to bill medicare on his behalf.
| Entity Name | Dublin Ear Nose And Throat Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184778425
PECOS PAC ID: 3779653654
Enrollment ID: O20080604000232 |
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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 Paul David Kellam Jr 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 |
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Dr Paul David Kellam Jr, MD
102 Fairview Park Dr,
Dublin, GA 31021-2500
Ph: (478) 272-8382 | Dr Paul David Kellam Jr, MD
102 Fairview Park Dr,
Dublin, GA 31021-2500
Ph: (478) 272-8382 |
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