Kelly Hogan, in Winston-salem, NC - Medicare Counselor Provider

Kelly Hogan, is a medicare enrolled "Counselor - Mental Health" provider in Winston-salem, North Carolina. Her current practice location is 640 Holly Ave, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 725-3999.

Kelly Hogan is licensed to practice in North Carolina (license number 4581) 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 1801964580.

Contact Information

	Kelly Hogan,
	640 Holly Ave, Winston-salem, NC 27101
	(336) 725-3999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Hogan
Gender	Female
Speciality	Counselor - Mental Health
Location	640 Holly Ave, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801964580
Provider Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890220586
Enrollment ID: I20241118002962

Medical Identifiers

Medical identifiers for Kelly Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801964580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4581 (North Carolina)	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. Kelly Hogan allows following entities to bill medicare on her behalf.

Entity Name	Trinity Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700892478 PECOS PAC ID: 0042759680 Enrollment ID: O20240828000532

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. Kelly Hogan 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
Kelly Hogan, 1066 W 4th St Ste 301, Winston Salem, NC 27101-2434 Ph: (336) 725-3999	Kelly Hogan, 640 Holly Ave, Winston-salem, NC 27101 Ph: (336) 725-3999

Reviews and Comments

Counselor in Winston-salem, NC

Alanna Alexander Zambrano, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N. Cherry St., Suite 300, Winston-salem, NC 27101 Phone: 336-748-4007 Fax: 336-748-4108
Elizabeth Hodges Shilling, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27102 Phone: 336-716-2255 Fax: 336-716-3202
Laurel Marlene Link, LICENSED PROFESSIONA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Silas Creek Parkway, Suite 101, Winston-salem, NC 27104 Phone: 336-293-8900 Fax: 336-293-8900
Jennifer C Connolly, PLCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 N. Highland Ave, 2nd Floor, Winston-salem, NC 27101 Phone: 336-607-8501 Fax: 336-725-4030
Ms. Quiteya Dawn Walker, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Thorndke Cir, Winston-salem, NC 27107 Phone: 843-514-2431
Candace Peterson Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 Phone: 336-277-1811
Mr. Timothy Mark Pittman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8011 North Point Blvd Ste 104, Winston-salem, NC 27106 Phone: 336-692-5143 Fax: 336-448-5723

Kelly Hogan, - Medicare Counselor in Winston-salem, NC