Kelly Jennings, MH 21536 in Tavares, FL - Medicare Counselor Provider

Kelly Jennings, MH 21536 is a medicare enrolled "Counselor - Mental Health" provider in Tavares, Florida. Her current practice location is 858 S Duncan Dr, Tavares, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 609-5103.

Kelly Jennings is licensed to practice in Florida (license number MH21536) 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 1043923147.

Contact Information

	Kelly Jennings, MH 21536
	858 S Duncan Dr, Tavares, FL 32778-4044
	(352) 609-5103
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Jennings
Gender	Female
Speciality	Counselor - Mental Health
Location	858 S Duncan Dr, Tavares, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043923147
Provider Enumeration Date: 01/04/2023
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6800249772
Enrollment ID: I20240126001513

Medical Identifiers

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

Identifier	Type	State	Issuer
1043923147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH21536 (Florida)	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 Jennings allows following entities to bill medicare on her behalf.

Entity Name	Family Life Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033665260 PECOS PAC ID: 0648623835 Enrollment ID: O20240124000959

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 Jennings 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 Jennings, MH 21536 135 Tyringham Rd, Eustis, FL 32726 Ph: (352) 354-4004	Kelly Jennings, MH 21536 858 S Duncan Dr, Tavares, FL 32778-4044 Ph: (352) 609-5103

Reviews and Comments

Counselor in Tavares, FL

Mrs. Elsie H Bowman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1799 Salk Ave, Tavares, FL 32778 Phone: 352-742-8300
Lashawn Lewis Gill, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Mayo Dr, Tavares, FL 32778 Phone: 352-600-0326
Mr. Peter Douglas Nordstrom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 St Clair Abrams Ave, Tavares, FL 32778 Phone: 352-253-6300 Fax: 352-343-7691
Phyllis Wesley, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 N Saint Clair Abrams Ave, Tavares, FL 32778 Phone: 352-742-0069 Fax: 352-742-0755
Deborah Jensen-short, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 407-304-2622 Fax: 407-583-6497
Mary L Tucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Banning Beach Rd, Tavares, FL 32778 Phone: 352-742-8020

Kelly Jennings, MH 21536 - Medicare Counselor in Tavares, FL