Ronald Fulton Kellum, MD - Medicare Family Medicine in Diamondhead, MS

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Ronald Fulton Kellum, MD is a medicare enrolled "Family Medicine" physician in Diamondhead, Mississippi. His current practice location is 4433 Leisure Time, Diamondhead, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 586-9229.

Ronald Fulton Kellum is licensed to practice in Mississippi (license number 19011) 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 1679543102.

Contact Information

Ronald Fulton Kellum, MD
4433 Leisure Time,
Diamondhead, MS 39525-3259
(228) 586-9229
(228) 586-9230

Map and Direction




Physician's Profile

Full NameRonald Fulton Kellum
GenderMale
SpecialityFamily Medicine
Location4433 Leisure Time, Diamondhead, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679543102
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 01/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6901812973
  • Enrollment ID: I20060301000311

Medical Identifiers

Medical identifiers for Ronald Fulton Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679543102NPI-NPPES
19011OtherMSMISSISSIPPI LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 19011 (Mississippi)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. Ronald Fulton Kellum allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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. Ronald Fulton 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 AddressPractice Location Address
Ronald Fulton Kellum, MD
149 Drinkwater Rd,
Bay St Louis, MS 39520-1658

Ph: (228) 467-8676		Ronald Fulton Kellum, MD
4433 Leisure Time,
Diamondhead, MS 39525-3259

Ph: (228) 586-9229

Reviews and Comments


Family Medicine Doctors in Diamondhead, MS

Dr. Christie Hutchinson Theriot, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525
Phone: 228-255-8216    Fax: 228-255-8219
Dr. Amber Hope Mcilwain, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525
Phone: 228-255-8216    Fax: 228-255-8219
Sarah E Barowka, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4540 Shepherd Sq, Diamondhead, MS 39525
Phone: 228-220-5200    Fax: 228-395-1291
Dr. Garrett Fratesi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 45000 E Aloha Dr., Ste A, Diamondhead, MS 39525
Phone: 228-822-6006    Fax: 228-255-3626
Erin Adam Dewitt, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4405 E Aloha Dr Bldg 1a, Diamondhead, MS 39525
Phone: 228-255-8818    Fax: 228-255-8820
Bita Ghaffari, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4433 Leisure Time Dr., Diamondhead, MS 39525
Phone: 228-586-9229    Fax: 228-586-9230

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.