Kelly Fountain, MD - Medicare Diagnostic Radiology in Melbourne, FL

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Kelly Fountain, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Melbourne, Florida. She went to University Of South Alabama College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Radiology And Imaging Consultants, Pc, Uchealth Imaging Services Llc, Health First Medical Group Llc and her current practice location is 1223 Gateway Dr, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 728-6002.

Kelly Fountain is licensed to practice in Florida (license number ME 129581) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700016359.

Contact Information

Kelly Fountain, MD
1223 Gateway Dr,
Melbourne, FL 32901-2607
(321) 728-6002
Not Available

Map and Direction




Physician's Profile

Full NameKelly Fountain
GenderFemale
SpecialityDiagnostic Radiology
Experience15 Years
Location1223 Gateway Dr, Melbourne, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Fountain attended and graduated from University Of South Alabama College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1700016359
  • Provider Enumeration Date: 07/16/2009
  • Last Update Date: 05/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315189370
  • Enrollment ID: I20170203002043

Medical Identifiers

Medical identifiers for Kelly Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700016359NPI-NPPES
PENDINGMedicaidFL
MA915OtherFLMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 23930 (Mississippi)Secondary
2085R0202XRadiology - Diagnostic Radiology 30719 (Alabama)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0057830 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 04-37158 (Kansas)Secondary
2085R0202XRadiology - Diagnostic Radiology ME 129581 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uch-memorial Health SystemColorado springs, COHospital
Uchealth Pikes Peak Regional HospitalWoodland park, COHospital
San Luis Valley HealthAlamosa, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology And Imaging Consultants, Pc185029864739
Uchealth Imaging Services Llc5799021291141
Health First Medical Group Llc7416100672713

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 Fountain allows following entities to bill medicare on her behalf.
Entity NameRadiology & Imaging Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598700825
PECOS PAC ID: 1850298647
Enrollment ID: O20031218000702
Entity NameUchealth Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396210902
PECOS PAC ID: 5799021291
Enrollment ID: O20190103002022

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 Fountain 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 Fountain, MD
4020 Turkey Point Dr,
Melbourne, FL 32934-8584

Ph: (251) 363-1745		Kelly Fountain, MD
1223 Gateway Dr,
Melbourne, FL 32901-2607

Ph: (321) 728-6002

Reviews and Comments


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Dr. Irina S Mezheritskiy, M.D.
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Dr. Charles Ehlenberger, M.D.
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Dr. Santiago Jimenez, M.D.
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Steven D Picerne, M.D.
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Dr. Brent D Brandon, M.D.
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Phone: 321-434-7313    Fax: 321-434-7238

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.