Dr Jessalyn Rose Kelleher, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Aurora, Colorado. Her current practice location is
13001 E 17th Pl, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 724-9758.
Dr Jessalyn Rose Kelleher is licensed to practice in Colorado (license number PSY.0005145) 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 1235619842.
Healthcare Provider's Profile
| Full Name | Dr Jessalyn Rose Kelleher |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 13001 E 17th Pl, Aurora, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235619842
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709204241
- Enrollment ID: I20200915001397
Medical Identifiers
Medical identifiers for Dr Jessalyn Rose Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235619842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0005145 (Colorado) | 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. Dr Jessalyn Rose Kelleher allows following entities to bill medicare on her behalf.
| Entity Name | University Physicians Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375 |
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| Entity Name | University Of Colorado Hospital Authority |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1982944054
PECOS PAC ID: 1052223724
Enrollment ID: O20131014000076 |
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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. Dr Jessalyn Rose Kelleher 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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Dr Jessalyn Rose Kelleher, PSYD
Po Box 110429,
Aurora, CO 80042-0429
Ph: () - | Dr Jessalyn Rose Kelleher, PSYD
13001 E 17th Pl,
Aurora, CO 80045-2570
Ph: (303) 724-9758 |
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