Kiersten Kelly, in Corvallis, OR - Medicare Counselor Provider

Kiersten Kelly, is a medicare enrolled "Counselor - Mental Health" provider in Corvallis, Oregon. Her current practice location is 850 Sw 26th St, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (547) 768-8800.

Kiersten Kelly is licensed to practice in * (Not Available) (license number ) 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 1588153449.

Contact Information

	Kiersten Kelly,
	850 Sw 26th St, Corvallis, OR 97331-8624
	(547) 768-8800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kiersten Kelly
Gender	Female
Speciality	Counselor - Mental Health
Location	850 Sw 26th St, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588153449
Provider Enumeration Date: 05/07/2018
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3375999030
Enrollment ID: I20231101000780

Medical Identifiers

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

Identifier	Type	State	Issuer
1588153449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Kiersten Kelly allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

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. Kiersten Kelly 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
Kiersten Kelly, Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Kiersten Kelly, 850 Sw 26th St, Corvallis, OR 97331-8624 Ph: (547) 768-8800

Reviews and Comments

Counselor in Corvallis, OR

Ms. Hannelore Na Ondrusek, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-929-9219 Fax: 541-929-9219
Kiri N. Horsey, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5946 Fax: 541-750-1120
Ms. Casey Joanna Roach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900
Suzanne Merritt Bilderback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 503-234-9591
Patrick Owen Mcguffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900
Laura Capehart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900
Taylor Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-757-1852

Kiersten Kelly, - Medicare Counselor in Corvallis, OR