Kelly Marcus Coleman, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Vancleave, Mississippi. He went to University Of Alabama School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Bienville Orthopaedic Specialists, Llc and his current practice location is
6300 E Lake Blvd Ste 201, Vancleave, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 230-2663.
Kelly Marcus Coleman is licensed to practice in Mississippi (license number 25293) 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 1629395454.
Physician's Profile
| Full Name | Kelly Marcus Coleman |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 14 Years |
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| Location | 6300 E Lake Blvd Ste 201, Vancleave, Mississippi |
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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:
- Kelly Marcus Coleman attended and graduated from University Of Alabama School Of Medicine in 2010
NPI Data:
- NPI Number: 1629395454
- Provider Enumeration Date: 05/04/2010
- Last Update Date: 09/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709023237
- Enrollment ID: I20171219001422
Medical Identifiers
Medical identifiers for Kelly Marcus Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629395454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 25293 (Mississippi) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 25293 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bienville Orthopaedic Specialists, Llc | 0547155178 | 46 |
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 Marcus Coleman allows following entities to bill medicare on his behalf.
| Entity Name | Bienville Orthopaedic Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689605834
PECOS PAC ID: 0547155178
Enrollment ID: O20040220000834 |
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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. Kelly Marcus Coleman 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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Kelly Marcus Coleman, MD
6300 E Lake Blvd Ste 301,
Vancleave, MS 39565-6771
Ph: (228) 230-2663 | Kelly Marcus Coleman, MD
6300 E Lake Blvd Ste 201,
Vancleave, MS 39565-6771
Ph: (228) 230-2663 |
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