Charles Dennis Kellum, MD in Macon, GA

Charles Dennis Kellum, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Macon, Georgia. His current practice location is 770 Pine St Ste 290, Attn: Radiology Department, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 743-1458.

Charles Dennis Kellum is licensed to practice in Georgia (license number 02933) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285624692.

Contact Information

	Charles Dennis Kellum, MD
	770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516
	(478) 743-1458
	(478) 755-1332

Map and Direction

Physician's Profile

Full Name	Charles Dennis Kellum
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	770 Pine St Ste 290, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285624692
Provider Enumeration Date: 10/26/2005
Last Update Date: 07/03/2014

Medicare PECOS Information:

PECOS PAC ID: 7618967316
Enrollment ID: I20040514000706

Medical Identifiers

Medical identifiers for Charles Dennis Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285624692	NPI	-	NPPES
000342141C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	02933 (Georgia)	Primary

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. Charles Dennis Kellum allows following entities to bill medicare on his behalf.

Entity Name	Radiology Associates Of Macon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679563035 PECOS PAC ID: 7113817701 Enrollment ID: O20040317001131

Entity Name	Georgia Magnetic Imaging Center Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114900545 PECOS PAC ID: 0042205775 Enrollment ID: O20040420000779

Entity Name	Central Georgia Mri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114908522 PECOS PAC ID: 5597752261 Enrollment ID: O20040427000147

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. Charles Dennis 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
Charles Dennis Kellum, MD 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458	Charles Dennis Kellum, MD 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458

Reviews and Comments

Radiology Doctors in Macon, GA

Paul Winston Chandler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332
Bradley Alan Ebel, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332
Murray Charles Relf, MD Radiology Medicare: Medicare Enrolled Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332
Kazumi Chino, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 1st St Ste 110, Macon, GA 31201 Phone: 478-743-3466 Fax: 478-746-2049
Thomas Franklin Glass Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332
Mark Edward Barrow, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 770 Pine Street, Suite 290, Macon, GA 31201 Phone: 478-751-5825 Fax: 478-755-1332
Alan D Kirsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St, Suite 290, Macon, GA 31201 Phone: 478-743-0029

Charles Dennis Kellum, MD - Medicare Radiology in Macon, GA