Dr Michael J Kellum, MD is a
Emergency Medicine physician based in Whitewater, Wisconsin. Dr Michael J Kellum is licensed to practice in Wisconsin (license number 36138-020) and his current practice location is W9575 Homburg Lane, Whitewater, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 473-0961.
NPI number for Dr Michael J Kellum is 1164599387 and his current mailing address is W9675 Homburg Ln, Whitewater, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164599387.
Physician's Profile
Full Name | Dr Michael J Kellum |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | W9575 Homburg Lane, Whitewater, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164599387
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/24/2015
Medical Identifiers
Medical identifiers for Dr Michael J Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164599387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 36138-020 (Wisconsin) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 36138-020 (Wisconsin) | Secondary |
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 Michael J Kellum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael J Kellum, MD W9675 Homburg Ln, Whitewater, WI 53190-3702 Ph: (262) 473-0961 | Dr Michael J Kellum, MD W9575 Homburg Lane, Whitewater, WI 53190 Ph: (262) 473-0961 |
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