Austin Neel Kelly, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Temple, Texas. His current practice location is
2401 South 31st Street, Mailstop: Ms-22-103e, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 725-3874.
Austin Neel Kelly is licensed to practice in Texas (license number 39255) 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 1174979231.
Healthcare Provider's Profile
Full Name | Austin Neel Kelly |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2401 South 31st Street, Temple, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174979231
- Provider Enumeration Date: 05/09/2016
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789069774
- Enrollment ID: I20220912001436
Medical Identifiers
Medical identifiers for Austin Neel Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174979231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 39255 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 39255 (Texas) | 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. Austin Neel Kelly allows following entities to bill medicare on his behalf.
Entity Name | Scott & White Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
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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. Austin Neel Kelly 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 |
Austin Neel Kelly, PSYD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Austin Neel Kelly, PSYD 2401 South 31st Street, Mailstop: Ms-22-103e, Temple, TX 76508 Ph: (254) 725-3874 |
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