Gary M Kellman, MD in Fairfax, VA

Gary M Kellman, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fairfax, Virginia. His current practice location is 2722 Merrilee Dr, #230, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 698-4483.

Gary M Kellman is licensed to practice in Virginia (license number 0101048839) 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 1104844760.

Contact Information

	Gary M Kellman, MD
	2722 Merrilee Dr, #230, Fairfax, VA 22031-4400
	(703) 698-4483
	(703) 573-0880

Map and Direction

Physician's Profile

Full Name	Gary M Kellman
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2722 Merrilee Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104844760
Provider Enumeration Date: 07/18/2006
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7618056623
Enrollment ID: I20101216001025

Medical Identifiers

Medical identifiers for Gary M Kellman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104844760	NPI	-	NPPES
0030	Other	VA	CAREFIRST BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	0101048839 (Virginia)	Secondary
2085N0700X	Radiology - Neuroradiology	0101048839 (Virginia)	Secondary
2085N0904X	Radiology - Nuclear Radiology	0101048839 (Virginia)	Secondary
2085P0229X	Radiology - Pediatric Radiology	0101048839 (Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	D0087855 (Maryland)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	G183989 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	0101048839 (Virginia)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	0101048839 (Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	0101048839 (Virginia)	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. Gary M Kellman allows following entities to bill medicare on his behalf.

Entity Name	Ifrc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200824002339

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. Gary M 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 Address	Practice Location Address
Gary M Kellman, MD Po Box 3650, Merrifield, VA 22116-3650 Ph: (703) 698-4483	Gary M Kellman, MD 2722 Merrilee Dr, #230, Fairfax, VA 22031-4400 Ph: (703) 698-4483

Reviews and Comments

Radiology Doctors in Fairfax, VA

Jing Selia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880
Cheryl A Lindstrom, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-698-2176
Sameena F Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880
Elise L. Berman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, #230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880
Suzanne M Hand, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444
Rodney J Butch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Ste. 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-698-2176
Lily Chu Sicard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880

Gary M Kellman, MD - Medicare Radiology in Fairfax, VA