Elizabeth Kelley, CSAC is a
Counselor - Mental Health based in Oneida, Wisconsin. Elizabeth Kelley is licensed to practice in Wisconsin (license number NO.7485-226) and her current practice location is
Po Box 365, Oneida, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 490-3799.
NPI number for Elizabeth Kelley is 1891165635 and her current mailing address is 2640 W Point Rd, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891165635.
Healthcare Provider's Profile
| Full Name | Elizabeth Kelley |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | Po Box 365, Oneida, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891165635
- Provider Enumeration Date: 10/06/2015
- Last Update Date: 08/24/2023
Medical Identifiers
Medical identifiers for Elizabeth Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891165635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | NO.16035-131 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | NO.16035-132 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | NO.7485-226 (Wisconsin) | 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. Elizabeth Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elizabeth Kelley, CSAC
2640 W Point Rd,
Green Bay, WI 54304-1344
Ph: (920) 490-3701 | Elizabeth Kelley, CSAC
Po Box 365,
Oneida, WI 54155-0365
Ph: (920) 490-3799 |
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