Kelli Bastiaanse, in Bristol, CT - Medicare Counselor Provider

Kelli Bastiaanse, is a medicare enrolled "Counselor - Mental Health" provider in Bristol, Connecticut. Her current practice location is 29 Windham Rd, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 331-1854.

Kelli Bastiaanse is licensed to practice in * (Not Available) (license number ) 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 1730476870.

Contact Information

	Kelli Bastiaanse,
	29 Windham Rd, Bristol, CT 06010-2762
	(860) 331-1854
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Bastiaanse
Gender	Female
Speciality	Counselor - Mental Health
Location	29 Windham Rd, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730476870
Provider Enumeration Date: 07/08/2011
Last Update Date: 07/08/2011

Medicare PECOS Information:

PECOS PAC ID: 8426493255
Enrollment ID: I20240301003052

Medical Identifiers

Medical identifiers for Kelli Bastiaanse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730476870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Kelli Bastiaanse 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
Kelli Bastiaanse, 29 Windham Rd, Bristol, CT 06010-2762 Ph: (860) 331-1854	Kelli Bastiaanse, 29 Windham Rd, Bristol, CT 06010-2762 Ph: (860) 331-1854

Reviews and Comments

Counselor in Bristol, CT

Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500
Lisa Marie Nelson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 860-582-8167

Kelli Bastiaanse, - Medicare Counselor in Bristol, CT