Joseph L Kellum Jr, MD | |
8166 Main Street, Houma, LA 70360 | |
(985) 873-4141 | |
(985) 851-4307 |
Full Name | Joseph L Kellum Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 8166 Main Street, Houma, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245204320 | NPI | - | NPPES |
1907651 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 14026R (Louisiana) | Primary |
Entity Name | Southern Pain & Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881622538 PECOS PAC ID: 4082526124 Enrollment ID: O20031113000163 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
Entity Name | Doctors Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100807 PECOS PAC ID: 8729079322 Enrollment ID: O20091102000032 |
Entity Name | Zephyr Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
Entity Name | Jefferson Anesthesia Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639816374 PECOS PAC ID: 8820470057 Enrollment ID: O20220803003439 |
Entity Name | Symvios Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427746619 PECOS PAC ID: 8729446521 Enrollment ID: O20230627002071 |
Mailing Address | Practice Location Address |
---|---|
Joseph L Kellum Jr, MD Po Box 6037, Houma, LA 70361-6037 Ph: (985) 873-4235 | Joseph L Kellum Jr, MD 8166 Main Street, Houma, LA 70360 Ph: (985) 873-4141 |
Daniel M Whittington, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-751-4307 | |
Dr. Michael S Haydel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1022 Belanger St, Houma, LA 70360 Phone: 985-223-3132 Fax: 985-223-3126 | |
Drake A Degrange, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Francis E Lewis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Ms. Christin Cathia Gethers, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1978 Industrial Blvd, Houma, LA 70363 Phone: 985-873-2200 | |
Elizabeth Gheisari, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |