Caroline Kelly, in St Louis Park, MN - Medicare Counselor Provider

Caroline Kelly, is a medicare enrolled "Counselor - Professional" provider in St Louis Park, Minnesota. Her current practice location is 7601 Wayzata Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 223-8898.

Caroline Kelly is licensed to practice in Minnesota (license number 4175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164916789.

Contact Information

	Caroline Kelly,
	7601 Wayzata Blvd, St Louis Park, MN 55426-1623
	(612) 223-8898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caroline Kelly
Gender	Female
Speciality	Counselor - Professional
Location	7601 Wayzata Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164916789
Provider Enumeration Date: 06/18/2018
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2466804190
Enrollment ID: I20240118002511

Medical Identifiers

Medical identifiers for Caroline Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164916789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
106S00000X	Behavior Technician	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	4175 (Minnesota)	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. Caroline Kelly allows following entities to bill medicare on her behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

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. Caroline 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
Caroline Kelly, 7601 Wayzata Blvd, St Louis Park, MN 55426-1623 Ph: (612) 223-8898	Caroline Kelly, 7601 Wayzata Blvd, St Louis Park, MN 55426-1623 Ph: (612) 223-8898

Reviews and Comments

Counselor in St Louis Park, MN

Abubakar Binji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 Park Glen Rd, St Louis Park, MN 55416 Phone: 952-888-7055 Fax: 612-605-3312
Shania Vaupel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5354 Parkdale Dr, St Louis Park, MN 55416 Phone: 888-364-5977
Gabrielle Marie Geary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898
Sarah Joy Najafalipour, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, St Louis Park, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Barbarajean Hartos-hord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898
Carrie Salsness, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3705 Park Center Blvd, St Louis Park, MN 55416 Phone: 952-405-7643
Louise Charlotte Rollins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898

Caroline Kelly, - Medicare Counselor in St Louis Park, MN