Michelle Kelley, LMHC, LCPC in Davenport, IA - Medicare Counselor Provider

Michelle Kelley, LMHC, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Davenport, Iowa. Her current practice location is 4455 E 56th St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 549-0209.

Michelle Kelley is licensed to practice in Iowa (license number 00768) 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 1467593962.

Contact Information

	Michelle Kelley, LMHC, LCPC
	4455 E 56th St, Davenport, IA 52807-2995
	(563) 549-0209
	(563) 888-1060

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Kelley
Gender	Female
Speciality	Counselor - Mental Health
Location	4455 E 56th St, Davenport, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467593962
Provider Enumeration Date: 02/09/2007
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2163759648
Enrollment ID: I20240210000205

Medical Identifiers

Medical identifiers for Michelle Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467593962	NPI	-	NPPES
0074526	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	00768 (Iowa)	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. Michelle Kelley allows following entities to bill medicare on her behalf.

Entity Name	Genesis Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044

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. Michelle Kelley 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
Michelle Kelley, LMHC, LCPC 4455 E 56th St, Davenport, IA 52807-2995 Ph: () -	Michelle Kelley, LMHC, LCPC 4455 E 56th St, Davenport, IA 52807-2995 Ph: (563) 549-0209

Reviews and Comments

Counselor in Davenport, IA

Jo Carthey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2319 E 29th St, Davenport, IA 52803 Phone: 563-528-4775
Jamie Lynn Cullen, LMHC, IADC, CCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3475 Jersey Ridge Rd, Davenport, IA 52807 Phone: 563-349-5235
Jennifer Cobb, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W 15th St, Davenport, IA 52803 Phone: 563-322-7419
Michael Anthony Cox, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4620 E 53rd St Ste 200, Davenport, IA 52807 Phone: 563-484-0840
Kelly Jean Kreiter Penning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Davenport, IA 52803 Phone: 563-326-6431
Rachel J Staron, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2028 E 38th St Ste 3-5, Davenport, IA 52807 Phone: 563-424-2016
Maria Terese Menster, MSE, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807 Phone: 563-355-0055 Fax: 563-355-0101

Michelle Kelley, LMHC, LCPC - Medicare Counselor in Davenport, IA