Kelli Wilson, in Phoenixville, PA - Medicare Counselor Provider

Kelli Wilson, is a medicare enrolled "Counselor - Mental Health" provider in Phoenixville, Pennsylvania. Her current practice location is 400 Franklin Ave Ste 240, Phoenixville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 644-6464.

Kelli Wilson 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 1114484052.

Contact Information

	Kelli Wilson,
	400 Franklin Ave Ste 240, Phoenixville, PA 19460-5137
	(610) 644-6464
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Wilson
Gender	Female
Speciality	Counselor - Mental Health
Location	400 Franklin Ave Ste 240, Phoenixville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114484052
Provider Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019

Medicare PECOS Information:

PECOS PAC ID: 2466859657
Enrollment ID: I20211001000158

Medical Identifiers

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

Identifier	Type	State	Issuer
1114484052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Kelli Wilson allows following entities to bill medicare on her behalf.

Entity Name	Row Psychiatric Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346891736 PECOS PAC ID: 4880029214 Enrollment ID: O20200114000255

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242

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 Wilson 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 Wilson, 680 American Ave, King Of Prussia, PA 19406-4023 Ph: (610) 644-6464	Kelli Wilson, 400 Franklin Ave Ste 240, Phoenixville, PA 19460-5137 Ph: (610) 644-6464

Reviews and Comments

Counselor in Phoenixville, PA

Mrs. Tammy L. Wills, NCC, DCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Hunt Ln, Phoenixville, PA 19460 Phone: 484-744-2885
Emily Mccready, Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Bridge St Apt 2211, Phoenixville, PA 19460 Phone: 856-701-7010
Kristina Erika Malley, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Gay St Ste 6, Phoenixville, PA 19460 Phone: 610-489-3333
Lindsey Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 4th Ave # 2, Phoenixville, PA 19460 Phone: 813-990-7400
Mr. Chris W. Bonner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 W Bridge St, Phoenixville, PA 19460 Phone: 610-933-8110 Fax: 610-933-7451
Lucas Carsto, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Hall Suite, Suite 304, Phoenixville, PA 19464 Phone: 610-590-7999
Hannah Marley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Franklin Ave, Suite 240, Phoenixville, PA 19460 Phone: 610-644-6464 Fax: 610-933-2249

Kelli Wilson, - Medicare Counselor in Phoenixville, PA