Sandra Kellum, MD - Medicare Pediatrics in Newport Beach, CA

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Sandra Kellum, MD is a medicare enrolled "Pediatrics" physician in Newport Beach, California. Her current practice location is 1401 Avocado Ave Ste 802, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 644-0970.

Sandra Kellum is licensed to practice in New Jersey (license number 25MA10083400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669881397.

Contact Information

Sandra Kellum, MD
1401 Avocado Ave Ste 802,
Newport Beach, CA 92660-7784
(949) 644-0970
Not Available

Map and Direction




Physician's Profile

Full NameSandra Kellum
GenderFemale
SpecialityPediatrics
Location1401 Avocado Ave Ste 802, Newport Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669881397
  • Provider Enumeration Date: 08/06/2014
  • Last Update Date: 11/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991066342
  • Enrollment ID: I20180227000425

Medical Identifiers

Medical identifiers for Sandra Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669881397NPI-NPPES
39OtherNJST. JOSEPH'S HEALTHCARE SYSTEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA10083400 (New Jersey)Primary

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. Sandra Kellum allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612

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. Sandra 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 AddressPractice Location Address
Sandra Kellum, MD
1401 Avocado Ave Ste 802,
Newport Beach, CA 92660-7784

Ph: (949) 644-0970		Sandra Kellum, MD
1401 Avocado Ave Ste 802,
Newport Beach, CA 92660-7784

Ph: (949) 644-0970

Reviews and Comments


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Richa Lal, M.D.
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Phone: 949-791-3001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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