Kelly Fountain, MD in Melbourne, FL - Medicare Diagnostic Radiology

Kelly Fountain, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Melbourne, Florida. She went to University Of South Alabama College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Radiology And Imaging Consultants, Pc, Uchealth Imaging Services Llc and her current practice location is 1223 Gateway Dr, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 728-6002.

Kelly Fountain is licensed to practice in Florida (license number ME 129581) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700016359.

Contact Information

	Kelly Fountain, MD
	1223 Gateway Dr, Melbourne, FL 32901-2607
	(321) 728-6002
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Fountain
Gender	Female
Speciality	Diagnostic Radiology
Experience	15 Years
Location	1223 Gateway Dr, Melbourne, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Fountain attended and graduated from University Of South Alabama College Of Medicine in 2009

NPI Data:

NPI Number: 1700016359
Provider Enumeration Date: 07/16/2009
Last Update Date: 05/10/2020

Medicare PECOS Information:

PECOS PAC ID: 7315189370
Enrollment ID: I20170203002043

Medical Identifiers

Medical identifiers for Kelly Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700016359	NPI	-	NPPES
PENDING	Medicaid	FL
MA915	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	23930 (Mississippi)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	30719 (Alabama)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	DR.0057830 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	04-37158 (Kansas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME 129581 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uch-memorial Health System	Colorado springs, CO	Hospital
San Luis Valley Health	Alamosa, CO	Hospital
Uchealth Pikes Peak Regional Hospital	Woodland park, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology And Imaging Consultants, Pc	1850298647	40
Uchealth Imaging Services Llc	5799021291	130

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. Kelly Fountain allows following entities to bill medicare on her behalf.

Entity Name	Radiology & Imaging Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598700825 PECOS PAC ID: 1850298647 Enrollment ID: O20031218000702

Entity Name	Uchealth Imaging Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396210902 PECOS PAC ID: 5799021291 Enrollment ID: O20190103002022

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. Kelly Fountain 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
Kelly Fountain, MD 4020 Turkey Point Dr, Melbourne, FL 32934-8584 Ph: (251) 363-1745	Kelly Fountain, MD 1223 Gateway Dr, Melbourne, FL 32901-2607 Ph: (321) 728-6002

Reviews and Comments

Radiology Doctors in Melbourne, FL

David Samuel Epstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901 Phone: 321-837-3820
Thomas H Magee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901 Phone: 321-409-9900 Fax: 321-309-9033
Dr. Irina S Mezheritskiy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238
Dr. Charles Ehlenberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory Street, Melbourne, FL 32901 Phone: 321-434-7000
Dr. Santiago Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0677
Steven D Picerne, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 W Hibiscus Blvd Ste 100, Melbourne, FL 32901 Phone: 321-726-3800
Dr. Brent D Brandon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238

Kelly Fountain, MD - Medicare Diagnostic Radiology in Melbourne, FL