Kelly Hull, LCPC in Maywood, IL - Medicare Counselor Provider

Kelly Hull, LCPC is a medicare enrolled "Counselor - Professional" provider in Maywood, Illinois. Her current practice location is 117 S 6th Ave, Clc Office, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 344-5536.

Kelly Hull is licensed to practice in Illinois (license number 180011054) 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 1992155352.

Contact Information

	Kelly Hull, LCPC
	117 S 6th Ave, Clc Office, Maywood, IL 60153-1305
	(708) 344-5536
	(708) 344-5535

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Hull
Gender	Female
Speciality	Counselor - Professional
Location	117 S 6th Ave, Maywood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992155352
Provider Enumeration Date: 06/16/2016
Last Update Date: 10/07/2019

Medicare PECOS Information:

PECOS PAC ID: 6002253523
Enrollment ID: I20240320000987

Medical Identifiers

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

Identifier	Type	State	Issuer
1992155352	NPI	-	NPPES
1225285596	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180011054 (Illinois)	Primary
101YP2500X	Counselor - Professional	178009412 (Illinois)	Secondary

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 Hull allows following entities to bill medicare on her behalf.

Entity Name	Presence Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20031212000734

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 Hull 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 Hull, LCPC 1118 N Harlem Ave Apt D, River Forest, IL 60305-1559 Ph: (312) 399-7065	Kelly Hull, LCPC 117 S 6th Ave, Clc Office, Maywood, IL 60153-1305 Ph: (708) 344-5536

Reviews and Comments

Counselor in Maywood, IL

Dr. Kate Louise Goldhaber, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Mr. Tyler J Pullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 S 6th Ave, Maywood, IL 60153 Phone: 708-681-4357
Claudia Villar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Kathryn Harris, Counselor Medicare: Accepting Medicare Assignments Practice Location: 117 S 6th Ave, Maywood, IL 60153 Phone: 708-344-5536
Ms. Pyol Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 N 4th Ave, Maywood, IL 60153 Phone: 708-856-6236
Mr. Antony D Greenhow, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-450-3500
Ms. Janet Tapia, LICENSE SOCIAL WORK Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-450-3500

Kelly Hull, LCPC - Medicare Counselor in Maywood, IL