Dr Kelli Little, PSYD is a medicare enrolled "Psychologist" provider in San Francisco, California. She graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Richmond Area Multi-services, Inc. and her current practice location is
3626 Balboa St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 668-5955.
Dr Kelli Little is licensed to practice in California (license number 32605) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558773960.
Healthcare Provider's Profile
| Full Name | Dr Kelli Little |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 3626 Balboa St, San Francisco, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelli Little graduated from medical school in 2019
NPI Data:
- NPI Number: 1558773960
- Provider Enumeration Date: 05/20/2014
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567841307
- Enrollment ID: I20220624000537
Medical Identifiers
Medical identifiers for Dr Kelli Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558773960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 32605 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Richmond Area Multi-services, Inc. | 4284675588 | 12 |
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 Little allows following entities to bill medicare on her behalf.
| Entity Name | Richmond Area Multi-services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548312309
PECOS PAC ID: 4284675588
Enrollment ID: O20091001000103 |
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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 Little 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 Little, PSYD
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 745-2235 | Dr Kelli Little, PSYD
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 668-5955 |
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