Kelly Queen, LPC in Troy, MI - Medicare Counselor Provider

Kelly Queen, LPC is a medicare enrolled "Counselor - Professional" provider in Troy, Michigan. Her current practice location is 2825 Livernois Rd, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 680-2060.

Kelly Queen is licensed to practice in Michigan (license number 6401007827) 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 1861590283.

Contact Information

	Kelly Queen, LPC
	2825 Livernois Rd, Troy, MI 48083-1214
	(248) 680-2060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Queen
Gender	Female
Speciality	Counselor - Professional
Location	2825 Livernois Rd, Troy, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861590283
Provider Enumeration Date: 09/20/2006
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6800818048
Enrollment ID: I20240220003248

Medical Identifiers

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

Identifier	Type	State	Issuer
1861590283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401007827 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401007827 (Michigan)	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 Queen allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

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 Queen 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 Queen, LPC 2825 Livernois Rd, Troy, MI 48083-1214 Ph: (248) 680-2060	Kelly Queen, LPC 2825 Livernois Rd, Troy, MI 48083-1214 Ph: (248) 680-2060

Reviews and Comments

Counselor in Troy, MI

Mr. Ronald Evan Hormel, M.A., L.L.P.C., N.C. Counselor Medicare: Medicare Enrolled Practice Location: 2075 West Big Beaver Road, Suite 520, Troy, MI 48084 Phone: 248-646-6659 Fax: 248-642-8645
Alison Christine Maples, MBA, LPC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Big Beaver Rd Ste 100, Troy, MI 48083 Phone: 313-451-3315 Fax: 248-250-9874
Mr. Daniel M Carlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Stephenson Hwy, Suite 250, Troy, MI 48083 Phone: 248-585-3239 Fax: 248-616-9759
Susan Orlando, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2795 Wagonwheel Dr, Troy, MI 48085 Phone: 248-528-1040
Jaclynn George, L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Rochester Ct, Troy, MI 48083 Phone: 248-266-0453
Michael A Stout, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-787-0855
Brenette Marie Shines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 W Big Beaver Rd Ste 475, Troy, MI 48084 Phone: 248-230-2511

Kelly Queen, LPC - Medicare Counselor in Troy, MI