| Dr Jesse Blake Kellum Jr, MD | |
|
1272 Garrison Dr, Murfreesboro, TN 37129-2598 | |
| (615) 867-8090 | |
| (675) 867-8093 |
| Full Name | Dr Jesse Blake Kellum Jr |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 46 Years |
| Location | 1272 Garrison Dr, Murfreesboro, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194735738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 51465 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Murfreesboro Medical Clinic, P.a. | 4789589227 | 142 |
| Entity Name | Murfreesboro Medical Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487604609 PECOS PAC ID: 4789589227 Enrollment ID: O20031206000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Blake Kellum Jr, MD 1272 Garrison Dr, Murfreesboro, TN 37129-2598 Ph: (615) 867-8090 | Dr Jesse Blake Kellum Jr, MD 1272 Garrison Dr, Murfreesboro, TN 37129-2598 Ph: (615) 867-8090 |
Saleh Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Lebanon Rd, Murfreesboro, TN 37129 Phone: 615-225-3760 | |
Sadaf Ashfaq, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3400 Lebanon Rd, Murfreesboro, TN 37129 Phone: 615-225-6396 Fax: 615-225-5381 | |
Dyveke Patrice Pratt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Center Pkwy, Murfreesboro, TN 37129 Phone: 615-396-4694 Fax: 615-396-6751 | |
Dr. Robert Alan Rodriguez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Center Pkwy, Murfreesboro, TN 37129 Phone: 615-396-4100 | |
Dr. Rashmi Pethkar, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Lebanon Rd, Murfreesboro, TN 37129 Phone: 615-893-1360 | |
Dr. Andrew Pierce, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1009 N Thompson Ln, Murfreesboro, TN 37129 Phone: 833-301-2133 |