Mr Micah Kellum, CRNA in Houston, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Micah Kellum, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Houston, Texas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Texas Tech University Health Sciences Center Lubbock, Northstar Anesthesia Pa and his current practice location is 18500 Katy Fwy, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 522-1000.

Mr Micah Kellum is licensed to practice in Texas (license number AP140431) 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 1124583430.

Contact Information

	Mr Micah Kellum, CRNA
	18500 Katy Fwy, Houston, TX 77094-1110
	(832) 522-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Micah Kellum
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	18500 Katy Fwy, Houston, Texas
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:

Mr Micah Kellum graduated from nursing school in 2018

NPI Data:

NPI Number: 1124583430
Provider Enumeration Date: 01/31/2019
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9335489814
Enrollment ID: I20190320000324

Medical Identifiers

Medical identifiers for Mr Micah Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124583430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP140431 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Covenant Medical Center	Lubbock, TX	Hospital
University Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Tech University Health Sciences Center Lubbock	4385549674	318
Northstar Anesthesia Pa	7315907128	265

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. Mr Micah Kellum allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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. Mr Micah 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
Mr Micah Kellum, CRNA 30711 Spanish Moss Xing, Fulshear, TX 77441-3709 Ph: (713) 560-9519	Mr Micah Kellum, CRNA 18500 Katy Fwy, Houston, TX 77094-1110 Ph: (832) 522-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Houston, TX

Editha A Flemming, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000
Danielle Therese George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229
Ryann Hattori, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000
Rodrique Dewyane Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229
Pedro Napoles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042 Phone: 972-715-5000 Fax: 972-715-9976
Alyssa Estill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000
Thomas Kyle Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693

Mr Micah Kellum, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Houston, TX