Miss Kelli Rivelli, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. Her current practice location is
1126 Hartford Ave, Suite 101, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 351-2750.
Miss Kelli Rivelli is licensed to practice in Rhode Island (license number ISW04259) 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 1104919117.
Healthcare Provider's Profile
| Full Name | Miss Kelli Rivelli |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1126 Hartford Ave, Johnston, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104919117
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406382233
- Enrollment ID: I20241204000660
Medical Identifiers
Medical identifiers for Miss Kelli Rivelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104919117 | NPI | - | NPPES |
| TT24187 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | L.C.D.P. # NOT RCVD (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW04259 (Rhode Island) | 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. Miss Kelli Rivelli allows following entities to bill medicare on her behalf.
| Entity Name | Child And Family Psychiatry Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760863229
PECOS PAC ID: 5294173464
Enrollment ID: O20240406000126 |
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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. Miss Kelli Rivelli 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 |
|---|
Miss Kelli Rivelli, LICSW
1126 Hartford Ave, Suite 101,
Johnston, RI 02919-7130
Ph: (401) 351-2750 | Miss Kelli Rivelli, LICSW
1126 Hartford Ave, Suite 101,
Johnston, RI 02919-7130
Ph: (401) 351-2750 |
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