Keltsie S Kellum, FNP in Jacksonville, NC - Medicare Nurse Practitioner

Keltsie S Kellum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, North Carolina. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johnston Pain Management Pa and her current practice location is 317 Western Blvd, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 577-2240.

Keltsie S Kellum is licensed to practice in North Carolina (license number 500597) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700185006.

Contact Information

	Keltsie S Kellum, FNP
	317 Western Blvd, Jacksonville, NC 28546-6338
	(910) 577-2240
	Not Available

Map and Direction

Provider's Profile

Full Name	Keltsie S Kellum
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	317 Western Blvd, Jacksonville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keltsie S Kellum graduated from nursing school in 2010

NPI Data:

NPI Number: 1700185006
Provider Enumeration Date: 03/25/2011
Last Update Date: 03/25/2011

Medicare PECOS Information:

PECOS PAC ID: 5799969390
Enrollment ID: I20110406000141

Medical Identifiers

Medical identifiers for Keltsie S Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700185006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	500597 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Onslow Memorial Hospital	Jacksonville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Johnston Pain Management Pa	9931167178	16

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. Keltsie S Kellum allows following entities to bill medicare on her behalf.

Entity Name	Onslow Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679535496 PECOS PAC ID: 1456252899 Enrollment ID: O20040119000016

Entity Name	Emergency Physician Associates Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306887609 PECOS PAC ID: 2365338928 Enrollment ID: O20040907001058

Entity Name	Johnston Pain Management Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184705865 PECOS PAC ID: 9931167178 Enrollment ID: O20041220001109

Entity Name	Emergency Coverage Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20100218000778

Entity Name	Tarheel Emergency Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386388874 PECOS PAC ID: 6709268576 Enrollment ID: O20220727001462

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. Keltsie S 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
Keltsie S Kellum, FNP 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4317	Keltsie S Kellum, FNP 317 Western Blvd, Jacksonville, NC 28546-6338 Ph: (910) 577-2240

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, NC

Amber Morgan Autry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2345
Elizabeth B Roberts, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546 Phone: 910-333-0283 Fax: 910-333-0513
Stephanny Parker, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Leah Christine Fitzgerald, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114a Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0700 Fax: 910-353-5305
Michelle L Snyder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 Memorial Ct, Jacksonville, NC 28546 Phone: 910-346-3976 Fax: 910-353-0600
Paula Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-5227
Nicole Wirth Harry, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 Phone: 910-347-3010

Keltsie S Kellum, FNP - Medicare Nurse Practitioner in Jacksonville, NC