Kelsey Woolner, is a medicare enrolled "Psychologist - Clinical" provider in Byron Center, Michigan. Her current practice location is
6500 Byron Center Ave Sw, Byron Center, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 281-6311.
Kelsey Woolner is licensed to practice in Michigan (license number 6301019182) 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 1992163281.
Healthcare Provider's Profile
| Full Name | Kelsey Woolner |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 6500 Byron Center Ave Sw, Byron Center, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1992163281
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527435502
- Enrollment ID: I20221103002031
Medical Identifiers
Medical identifiers for Kelsey Woolner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992163281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 6351004436 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | F1350625 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301019182 (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. Kelsey Woolner allows following entities to bill medicare on her behalf.
| Entity Name | Pine Rest Christian Mental Health Services |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780695411
PECOS PAC ID: 4981506508
Enrollment ID: O20040213000149 |
|---|
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 Woolner 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 Woolner,
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 281-6372 | Kelsey Woolner,
6500 Byron Center Ave Sw,
Byron Center, MI 49315-9080
Ph: (616) 281-6311 |
Reviews and Comments