Dr Kelli J Deiaco, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lewes, Delaware. Her current practice location is
16287 Willow Creek Rd, Lewes, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 703-6332.
Dr Kelli J Deiaco is licensed to practice in Pennsylvania (license number PS018210) 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 1699945766.
Healthcare Provider's Profile
Full Name | Dr Kelli J Deiaco |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 16287 Willow Creek Rd, Lewes, Delaware |
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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: 1699945766
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577833730
- Enrollment ID: I20170720000829
Medical Identifiers
Medical identifiers for Dr Kelli J Deiaco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699945766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC004790 (Pennsylvania) | Secondary |
103TC0700X | Psychologist - Clinical | B1-0011334 (Delaware) | Secondary |
103TC0700X | Psychologist - Clinical | PS018210 (Pennsylvania) | 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 Kelli J Deiaco allows following entities to bill medicare on her behalf.
Entity Name | Tower Drexel Academic Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780227488 PECOS PAC ID: 9335147784 Enrollment ID: O20061117000409 |
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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 Kelli J Deiaco 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 |
Dr Kelli J Deiaco, PHD 124 E Main St Ste 2, Macungie, PA 18062-1341 Ph: (610) 462-5585 | Dr Kelli J Deiaco, PHD 16287 Willow Creek Rd, Lewes, DE 19958-3614 Ph: (302) 703-6332 |
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