Kelley P Clancy, LMHC in East Providence, RI - Medicare Counselor Provider

Kelley P Clancy, LMHC is a medicare enrolled "Counselor - Mental Health" provider in East Providence, Rhode Island. Her current practice location is 400 Massasoit Ave Ste 305, East Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 294-0451.

Kelley P Clancy is licensed to practice in Rhode Island (license number MHC01398) 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 1811451149.

Contact Information

	Kelley P Clancy, LMHC
	400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
	(401) 294-0451
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley P Clancy
Gender	Female
Speciality	Counselor - Mental Health
Location	400 Massasoit Ave Ste 305, East Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811451149
Provider Enumeration Date: 01/31/2019
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9335591635
Enrollment ID: I20240123002022

Medical Identifiers

Medical identifiers for Kelley P Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811451149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC01398 (Rhode Island)	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. Kelley P Clancy allows following entities to bill medicare on her behalf.

Entity Name	Ricbt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780776476 PECOS PAC ID: 7517854995 Enrollment ID: O20040301000979

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. Kelley P Clancy 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
Kelley P Clancy, LMHC 1130 Ten Rod Rd Ste E305, North Kingstown, RI 02852-4176 Ph: (401) 294-0451	Kelley P Clancy, LMHC 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 Ph: (401) 294-0451

Reviews and Comments

Counselor in East Providence, RI

Ms. Casey Carney Gallagher, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 400 Warren Ave Ste 2l-a, East Providence, RI 02914 Phone: 401-305-0080 Fax: 401-574-2033
Nicole Camille Green, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Arthur Ave Apt 20, East Providence, RI 02914 Phone: 401-451-1651
Mr. Nathan C Finnigan, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Waterman Ave Ste 1, East Providence, RI 02914 Phone: 401-434-4999 Fax: 401-434-6116
Meredith Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Arthur Ave Apt 11, East Providence, RI 02914 Phone: 603-560-7631
Teresa M Frias, M.A., L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, East Providence, RI 02914 Phone: 401-434-2920
Elliott Butcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Vine St, East Providence, RI 02914 Phone: 917-498-1876
Emilie Rebelo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, East Providence, RI 02914 Phone: 401-561-7487

Kelley P Clancy, LMHC - Medicare Counselor in East Providence, RI