Mark E Kellam, MD in Cincinnati, OH - Medicare Emergency Medicine

Mark E Kellam, MD is a medicare enrolled "Emergency Medicine" physician in Cincinnati, Ohio. He went to University Of Washington School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Southwest Pc and his current practice location is 3131 Queen City Ave, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 557-3333.

Mark E Kellam is licensed to practice in Ohio (license number 35076218) 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 1356346449.

Contact Information

	Mark E Kellam, MD
	3131 Queen City Ave, Cincinnati, OH 45238-2316
	(513) 557-3333
	(513) 557-3332

Map and Direction

Physician's Profile

Full Name	Mark E Kellam
Gender	Male
Speciality	Emergency Medicine
Experience	30 Years
Location	3131 Queen City Ave, Cincinnati, Ohio
Accepts Medicare Assignments	Yes. 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 E Kellam attended and graduated from University Of Washington School Of Medicine in 1996

NPI Data:

NPI Number: 1356346449
Provider Enumeration Date: 06/16/2005
Last Update Date: 04/27/2008

Medicare PECOS Information:

PECOS PAC ID: 7719951177
Enrollment ID: I20170725001227

Medical Identifiers

Medical identifiers for Mark E Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356346449	NPI	-	NPPES
200237920	Medicaid	IN
2126907	Medicaid	OH
64963408	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35076218 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley View Medical Center	Fort mohave, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Physicians Southwest Pc	2264538529	75

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 E Kellam allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Southwest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382

Entity Name	Nes Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113

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 E Kellam 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
Mark E Kellam, MD 1472 Solutions Ctr, Chicago, IL 60677-1004 Ph: (513) 557-3333	Mark E Kellam, MD 3131 Queen City Ave, Cincinnati, OH 45238-2316 Ph: (513) 557-3333

Reviews and Comments

Emergency Medicine Doctors in Cincinnati, OH

Cindy Chang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Ave, Ml 2008, Cincinnati, OH 45229 Phone: 513-636-7966 Fax: 513-636-7967
Lori Ann Stolz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791
Cody Lee Stothers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman Street, Center For Emergency Care, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791
Julius De Castro, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791
Dr. Rachelle Bernice Pierre-mathieu, MD, MPP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Mail Location 0796, Cincinnati, OH 45219 Phone: 513-584-1000
Stephen Louis Sanker, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Lexington Ave, Suite 100, Cincinnati, OH 45212 Phone: 513-977-6758
Courtney Elizabeth Kein, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 234 Goodman Street, Center For Emergency Care, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791

Mark E Kellam, MD - Medicare Emergency Medicine in Cincinnati, OH