Crystal Dianne Kellam, MSW is a medicare enrolled "Social Worker - Clinical" provider in Greenville, North Carolina. Her current practice location is
905 Johns Hopkins Dr, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 744-1406.
Crystal Dianne Kellam is licensed to practice in North Carolina (license number C013218) 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 1265084800.
Healthcare Provider's Profile
| Full Name | Crystal Dianne Kellam |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 905 Johns Hopkins Dr, Greenville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Crystal Dianne Kellam attended and graduated from in
NPI Data:
- NPI Number: 1265084800
- Provider Enumeration Date: 07/14/2019
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Crystal Dianne Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265084800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 24703 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013218 (North Carolina) | Primary |
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. Crystal Dianne 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 |
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Crystal Dianne Kellam, MSW
Po Box 751069,
Charlotte, NC 28275-1069
Ph: () - | Crystal Dianne Kellam, MSW
905 Johns Hopkins Dr,
Greenville, NC 27834-2056
Ph: (252) 744-1406 |
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