Dr Michael J Kellum, MD - Emergency Medicine in Whitewater, WI

Dr Michael J Kellum, MD is a Emergency Medicine physician based in Whitewater, Wisconsin. Dr Michael J Kellum is licensed to practice in Wisconsin (license number 36138-020) and his current practice location is W9575 Homburg Lane, Whitewater, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 473-0961.

NPI number for Dr Michael J Kellum is 1164599387 and his current mailing address is W9675 Homburg Ln, Whitewater, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164599387.

Contact Information

Dr Michael J Kellum, MD
W9575 Homburg Lane,
Whitewater, WI 53190
(262) 473-0961
Not Available



Physician's Profile

Full NameDr Michael J Kellum
GenderMale
SpecialityEmergency Medicine
LocationW9575 Homburg Lane, Whitewater, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164599387
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/24/2015

Medical Identifiers

Medical identifiers for Dr Michael J Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164599387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 36138-020 (Wisconsin)Primary
207PE0004XEmergency Medicine - Emergency Medical Services 36138-020 (Wisconsin)Secondary

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. Dr Michael J Kellum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael J Kellum, MD
W9675 Homburg Ln,
Whitewater, WI 53190-3702

Ph: (262) 473-0961
Dr Michael J Kellum, MD
W9575 Homburg Lane,
Whitewater, WI 53190

Ph: (262) 473-0961

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› Verified 6 days ago


Emergency Medicine Doctors in Whitewater, WI

James J Tydrich, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 351 S Wisconsin St Unit 4, Whitewater, WI 53190
Phone: 262-472-0379    
Sean P.l.p. Alwin, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1305 W Main St, Whitewater, WI 53190
Phone: 262-473-4548    Fax: 262-472-7691

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