Sandra Kellum, MD in Bloomfield, NJ

Sandra Kellum, MD is a medicare enrolled "Pediatrics" physician in Bloomfield, New Jersey. Her current practice location is 24 Yantecaw Ave, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 275-8742.

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
	24 Yantecaw Ave, Bloomfield, NJ 07003-2835
	(201) 275-8742
	Not Available

Map and Direction

Physician's Profile

Full Name	Sandra Kellum
Gender	Female
Speciality	Pediatrics
Location	24 Yantecaw Ave, Bloomfield, New Jersey
Accepts Medicare Assignments	Medicare 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: 04/20/2018

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.

Identifier	Type	State	Issuer
1669881397	NPI	-	NPPES
39	Other	NJ	ST. JOSEPH'S HEALTHCARE SYSTEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 Name	St Josephs Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Sandra Kellum, MD 24 Yantecaw Ave, Bloomfield, NJ 07003-2835 Ph: (201) 275-8742	Sandra Kellum, MD 24 Yantecaw Ave, Bloomfield, NJ 07003-2835 Ph: (201) 275-8742

Reviews and Comments

Pediatrics Doctors in Bloomfield, NJ

Maria Turizo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1255 Broad St, Suite 105, Bloomfield, NJ 07003 Phone: 973-233-5494 Fax: 973-233-5492
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Dr. Sean A Flynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Glenwood Ave, 2nd Floor, Suite 6, Bloomfield, NJ 07003 Phone: 973-743-5639 Fax: 973-743-5840
Dr. Madhavi Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 199 Broad Street, Suite 1b, Bloomfield, NJ 07003 Phone: 973-743-1392 Fax: 973-743-3707
Maria M Yerovi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 399 Hoover Ave, Suite 4, Bloomfield, NJ 07003 Phone: 973-429-2120 Fax: 973-429-2181
Lori Ann Colyer-aversa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003 Phone: 973-748-9500 Fax: 973-748-9492
Dr. Edna Retiracion Lopez-maslak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 206 Belleville Ave Ste 202, Bloomfield, NJ 07003 Phone: 973-743-0202 Fax: 973-743-0777

Sandra Kellum, MD - Medicare Pediatrics in Bloomfield, NJ