Kelly Marcus Coleman, MD - Medicare Pain Management in Vancleave, MS

Kelly Marcus Coleman, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Vancleave, Mississippi. He went to University Of Alabama School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Bienville Orthopaedic Specialists, Llc and his current practice location is 6300 E Lake Blvd Ste 201, Vancleave, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 230-2663.

Kelly Marcus Coleman is licensed to practice in Mississippi (license number 25293) 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 1629395454.

Contact Information

Kelly Marcus Coleman, MD
6300 E Lake Blvd Ste 201,
Vancleave, MS 39565-6771
(228) 230-2663
(228) 546-3257



Physician's Profile

Full NameKelly Marcus Coleman
GenderMale
SpecialityPain Management
Experience14 Years
Location6300 E Lake Blvd Ste 201, Vancleave, 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:
  • Kelly Marcus Coleman attended and graduated from University Of Alabama School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1629395454
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709023237
  • Enrollment ID: I20171219001422

Medical Identifiers

Medical identifiers for Kelly Marcus Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629395454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 25293 (Mississippi)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 25293 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Singing River Health SystemPascagoula, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bienville Orthopaedic Specialists, Llc054715517847

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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. Kelly Marcus Coleman allows following entities to bill medicare on his behalf.
Entity NameBienville Orthopaedic Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689605834
PECOS PAC ID: 0547155178
Enrollment ID: O20040220000834

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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. Kelly Marcus Coleman 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
Kelly Marcus Coleman, MD
6300 E Lake Blvd Ste 301,
Vancleave, MS 39565-6771

Ph: (228) 230-2663
Kelly Marcus Coleman, MD
6300 E Lake Blvd Ste 201,
Vancleave, MS 39565-6771

Ph: (228) 230-2663

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Pain Medicine Doctors in Vancleave, MS


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