Mark J Kellum, MD in Tupelo, MS - Medicare Obstetrics/gynecology

Mark J Kellum, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tupelo, Mississippi. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Obstetrics Gynecology Associates Pa and his current practice location is 1793 Cliff Gookin Blvd, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 842-1161.

Mark J Kellum is licensed to practice in Mississippi (license number 11046) 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 1881665859.

Contact Information

	Mark J Kellum, MD
	1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723
	(662) 842-1161
	(662) 844-4107

Map and Direction

Physician's Profile

Full Name	Mark J Kellum
Gender	Male
Speciality	Obstetrics/gynecology
Experience	39 Years
Location	1793 Cliff Gookin Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark J Kellum graduated from medical school in 1985

NPI Data:

NPI Number: 1881665859
Provider Enumeration Date: 01/30/2006
Last Update Date: 06/21/2012

Medicare PECOS Information:

PECOS PAC ID: 0244319101
Enrollment ID: I20100518000895

Medical Identifiers

Medical identifiers for Mark J Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881665859	NPI	-	NPPES
00115201	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	11046 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Obstetrics Gynecology Associates Pa	3072500073	9

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. Mark J Kellum allows following entities to bill medicare on his behalf.

Entity Name	Obstetrics Gynecology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750352894 PECOS PAC ID: 3072500073 Enrollment ID: O20040430000135

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. Mark J Kellum 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
Mark J Kellum, MD 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 Ph: (662) 842-1161	Mark J Kellum, MD 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 Ph: (662) 842-1161

Reviews and Comments

Obstetrics & Gynecology Doctors in Tupelo, MS

Clay B Hudson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1041 S Madison St, Tupelo, MS 38801 Phone: 662-844-8754
Dr. Lea Elizabeth Stokes, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1041 S Madison St, Tupelo, MS 38801 Phone: 662-844-8754
Wayne A Slocum, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-1161 Fax: 662-844-4107
David E Webb, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-1161 Fax: 662-844-4107
Chester White, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1041 S Madison St, Tupelo, MS 38801 Phone: 662-844-8754
Laura L Marion, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-1161 Fax: 662-842-6375
Ronald A Young, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-1161 Fax: 662-844-4107

Mark J Kellum, MD - Medicare Obstetrics/gynecology in Tupelo, MS