Ronald Fulton Kellum, MD in Diamondhead, MS

Ronald Fulton Kellum, MD is a medicare enrolled "Family Medicine" physician in Diamondhead, Mississippi. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is 4433 Leisure Time, Diamondhead, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 586-9229.

Ronald Fulton Kellum is licensed to practice in Mississippi (license number 19011) 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 1679543102.

Contact Information

	Ronald Fulton Kellum, MD
	4433 Leisure Time, Diamondhead, MS 39525-3259
	(228) 586-9229
	(228) 586-9230

Map and Direction

Physician's Profile

Full Name	Ronald Fulton Kellum
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	4433 Leisure Time, Diamondhead, 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:

Ronald Fulton Kellum graduated from medical school in 2000

NPI Data:

NPI Number: 1679543102
Provider Enumeration Date: 01/26/2006
Last Update Date: 01/23/2014

Medicare PECOS Information:

PECOS PAC ID: 6901812973
Enrollment ID: I20060301000311

Medical Identifiers

Medical identifiers for Ronald Fulton Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679543102	NPI	-	NPPES
19011	Other	MS	MISSISSIPPI LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	19011 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	385

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. Ronald Fulton Kellum allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Ronald Fulton 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
Ronald Fulton Kellum, MD 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 Ph: (228) 467-8676	Ronald Fulton Kellum, MD 4433 Leisure Time, Diamondhead, MS 39525-3259 Ph: (228) 586-9229

Reviews and Comments

Family Medicine Doctors in Diamondhead, MS

Dr. Christie Hutchinson Theriot, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219
Dr. Amber Hope Mcilwain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219
Dr. Garrett Fratesi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 45000 E Aloha Dr., Ste A, Diamondhead, MS 39525 Phone: 228-822-6006 Fax: 228-255-3626
Erin Adam Dewitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4405 E Aloha Dr Bldg 1a, Diamondhead, MS 39525 Phone: 228-255-8818 Fax: 228-255-8820
Bita Ghaffari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4433 Leisure Time Dr., Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230
Dr. David F Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626

Ronald Fulton Kellum, MD - Medicare Family Practice in Diamondhead, MS