Mrs Kristina Jennifer Kelly, LMHC in Elizabethtown, NY

Mrs Kristina Jennifer Kelly, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Elizabethtown, New York. Her current practice location is Essex County Memorial Health, 7513 Court St, Elizabethtown, New York. You can reach out to her office (for appointments etc.) via phone at (518) 873-3670.

Mrs Kristina Jennifer Kelly is licensed to practice in New York (license number 002069) 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 1750500476.

Contact Information

	Mrs Kristina Jennifer Kelly, LMHC
	Essex County Memorial Health, 7513 Court St, Elizabethtown, NY 12932
	(518) 873-3670
	(518) 873-3777

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristina Jennifer Kelly
Gender	Female
Speciality	Counselor - Mental Health
Location	Essex County Memorial Health, Elizabethtown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750500476
Provider Enumeration Date: 04/24/2007
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6305286881
Enrollment ID: I20240501001259

Medical Identifiers

Medical identifiers for Mrs Kristina Jennifer Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750500476	NPI	-	NPPES
02996789	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0680134561 (Vermont)	Secondary
106H00000X	Marriage & Family Therapist	002069 (New York)	Secondary
101YM0800X	Counselor - Mental Health	002069 (New York)	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. Mrs Kristina Jennifer Kelly allows following entities to bill medicare on her behalf.

Entity Name	Essex County Treasurer
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659485480 PECOS PAC ID: 1658392600 Enrollment ID: O20051219000132

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. Mrs Kristina Jennifer 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
Mrs Kristina Jennifer Kelly, LMHC Essex County Memorial Health, 7513 Court St Po Box 8, Elizabethtown, NY 12932 Ph: (518) 873-3670	Mrs Kristina Jennifer Kelly, LMHC Essex County Memorial Health, 7513 Court St, Elizabethtown, NY 12932 Ph: (518) 873-3670

Reviews and Comments

Counselor in Elizabethtown, NY

Stephen J Valley, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-873-3670 Fax: 518-873-3777
Gena M Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-873-3670
Katherine Wittreich Uvyn, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-876-3670 Fax: 518-873-3777
Daphne E Hallowell, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-873-3670 Fax: 518-873-3777
Briana F Holland, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-873-3670 Fax: 518-873-3777
Annie Gronningsater Mckinley, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7513 Court St, Elizabethtown, NY 12932 Phone: 518-873-3670
Robert Mcgoldrick, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 7513 Court Street, Elizabethtown, NY 12932 Phone: 518-873-3670 Fax: 578-873-3777

Mrs Kristina Jennifer Kelly, LMHC - Medicare Counselor in Elizabethtown, NY