Kelli Lynn Wilson, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Clarendon, Vermont. Her current practice location is
1247 Airport Road, Clarendon, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 773-3620.
Kelli Lynn Wilson is licensed to practice in Vermont (license number 1000000042) 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 1952481400.
Healthcare Provider's Profile
| Full Name | Kelli Lynn Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 1247 Airport Road, Clarendon, Vermont |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1952481400
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284096454
- Enrollment ID: I20240209000065
Medical Identifiers
Medical identifiers for Kelli Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952481400 | NPI | - | NPPES |
| 00068963 | Other | VT | BCBS |
| 1010469 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1000000042 (Vermont) | 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 Lynn Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Public Hospital District No 3 Of Whitman County |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090 |
|---|
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 Lynn 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 Lynn Wilson, LMFT
1247 Airport Road,
Clarendon, VT 05759
Ph: (802) 773-3620 | Kelli Lynn Wilson, LMFT
1247 Airport Road,
Clarendon, VT 05759
Ph: (802) 773-3620 |
Reviews and Comments