Kelsey Coletta, LCSW, LCDP in Providence, RI - Medicare Counselor Provider

Kelsey Coletta, LCSW, LCDP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Providence, Rhode Island. Her current practice location is 200 Corliss St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 606-8530.

Kelsey Coletta is licensed to practice in Rhode Island (license number CDP00947) 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 1689256638.

Contact Information

	Kelsey Coletta, LCSW, LCDP
	200 Corliss St, Providence, RI 02904-2602
	(401) 606-8530
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Coletta
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	200 Corliss St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689256638
Provider Enumeration Date: 04/28/2021
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1850766817
Enrollment ID: I20230405002576

Medical Identifiers

Medical identifiers for Kelsey Coletta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689256638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CDP00947 (Rhode Island)	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. Kelsey Coletta allows following entities to bill medicare on her behalf.

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105

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. Kelsey Coletta 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
Kelsey Coletta, LCSW, LCDP 200 Corliss St, Providence, RI 02904-2602 Ph: () -	Kelsey Coletta, LCSW, LCDP 200 Corliss St, Providence, RI 02904-2602 Ph: (401) 606-8530

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Kelsey Coletta, LCSW, LCDP - Medicare Counselor in Providence, RI