Mark J Kellum, MD - Medicare Obstetrics/gynecology in Tupelo, MS

Mark J Kellum, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tupelo, Mississippi. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Obstetrics Gynecology Associates Pa and his current practice location is 1793 Cliff Gookin Blvd, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 842-1161.

Mark J Kellum is licensed to practice in Mississippi (license number 11046) 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 1881665859.

Contact Information

Mark J Kellum, MD
1793 Cliff Gookin Blvd,
Tupelo, MS 38801-6723
(662) 842-1161
(662) 844-4107



Physician's Profile

Full NameMark J Kellum
GenderMale
SpecialityObstetrics/gynecology
Experience39 Years
Location1793 Cliff Gookin Blvd, Tupelo, 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:
  • Mark J Kellum graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1881665859
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 06/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244319101
  • Enrollment ID: I20100518000895

Medical Identifiers

Medical identifiers for Mark J Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881665859NPI-NPPES
00115201MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 11046 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Obstetrics Gynecology Associates Pa307250007311

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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. Mark J Kellum allows following entities to bill medicare on his behalf.
Entity NameObstetrics Gynecology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750352894
PECOS PAC ID: 3072500073
Enrollment ID: O20040430000135

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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. Mark J 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 AddressPractice Location Address
Mark J Kellum, MD
1793 Cliff Gookin Blvd,
Tupelo, MS 38801-6723

Ph: (662) 842-1161
Mark J Kellum, MD
1793 Cliff Gookin Blvd,
Tupelo, MS 38801-6723

Ph: (662) 842-1161

News Archive

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Obstetrics & Gynecology Doctors in Tupelo, MS

Clay B Hudson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1041 S Madison St, Tupelo, MS 38801
Phone: 662-844-8754    
Dr. Lea Elizabeth Stokes, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1041 S Madison St, Tupelo, MS 38801
Phone: 662-844-8754    
Wayne A Slocum, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-842-1161    Fax: 662-844-4107
David E Webb, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-842-1161    Fax: 662-844-4107
Chester White, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1041 S Madison St, Tupelo, MS 38801
Phone: 662-844-8754    
Laura L Marion, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-842-1161    Fax: 662-842-6375
Ronald A Young, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1793 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-842-1161    Fax: 662-844-4107

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