Dr Roy Bradley Kellum Jr, MD - Medicare Orthopedic Surgery in Flowood, MS

Dr Roy Bradley Kellum Jr, MD is a medicare enrolled "Orthopaedic Surgery" physician in Flowood, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Capital Orthopaedic Clinic, Pllc and his current practice location is 104 Burney Dr, Flowood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 987-8200.

Dr Roy Bradley Kellum Jr is licensed to practice in Mississippi (license number 22081) 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 1124228754.

Contact Information

Dr Roy Bradley Kellum Jr, MD
104 Burney Dr,
Flowood, MS 39232-6621
(601) 987-8200
(601) 987-8211



Physician's Profile

Full NameDr Roy Bradley Kellum Jr
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location104 Burney Dr, Flowood, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Roy Bradley Kellum Jr attended and graduated from University Of Mississippi School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1124228754
  • Provider Enumeration Date: 07/22/2007
  • Last Update Date: 09/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204082381
  • Enrollment ID: I20130829000737

Medical Identifiers

Medical identifiers for Dr Roy Bradley Kellum Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124228754NPI-NPPES
00753273MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 22081 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
St Dominic-jackson Memorial HospitalJackson, MSHospital
Merit Health River OaksFlowood, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Orthopaedic Clinic, Pllc094121525534

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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. Dr Roy Bradley Kellum Jr allows following entities to bill medicare on his behalf.
Entity NameCapital Orthopaedic Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687881
PECOS PAC ID: 0941215255
Enrollment ID: O20060208000127

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Entity NameSpecialty Surgical Center, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1588152920
PECOS PAC ID: 5597013466
Enrollment ID: O20180809000421

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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 Roy Bradley Kellum Jr 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
Dr Roy Bradley Kellum Jr, MD
Po Box 30594,
Charlotte, NC 28230-0594

Ph: (601) 987-8200
Dr Roy Bradley Kellum Jr, MD
104 Burney Dr,
Flowood, MS 39232-6621

Ph: (601) 987-8200

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Orthopaedic Surgery Doctors in Flowood, MS

William Owen Mccraney, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Dr. Charles Delbert Hosemann Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Dr. James Adam Smitherman, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Matthew Cassedy Futvoye, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Aubrey Lucas, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232
Phone: 601-939-9999    Fax: 601-939-0590
Dr. Edwin Jeff Kennedy, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 607-987-8211

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