Mrs Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP in Yadkinville, NC

Mrs Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP is a medicare enrolled "Counselor - Professional" provider in Yadkinville, North Carolina. Her current practice location is 110 W Elm St, Yadkinville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 677-3991.

Mrs Suzanne Autrey Kelly is licensed to practice in North Carolina (license number 1070) 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 1366420192.

Contact Information

	Mrs Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP
	110 W Elm St, Yadkinville, NC 27055-1758
	(336) 677-3991
	(336) 677-1359

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Suzanne Autrey Kelly
Gender	Female
Speciality	Counselor - Professional
Location	110 W Elm St, Yadkinville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366420192
Provider Enumeration Date: 01/03/2006
Last Update Date: 08/27/2012

Medicare PECOS Information:

PECOS PAC ID: 3779926530
Enrollment ID: I20240208001735

Medical Identifiers

Medical identifiers for Mrs Suzanne Autrey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366420192	NPI	-	NPPES
6112226	Medicaid	NC
1005H	Other	NC	BCBS OF NORTH CAROLINA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	60 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1223 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	1070 (North Carolina)	Primary

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 Suzanne Autrey 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 Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP 120 Walnut Ave, Yadkinville, NC 27055-5752 Ph: (336) 466-1053	Mrs Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP 110 W Elm St, Yadkinville, NC 27055-1758 Ph: (336) 677-3991

Reviews and Comments

Counselor in Yadkinville, NC

Charles B Gross, Counselor Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805
Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057
Susan L Sawyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 Phone: 336-679-6719 Fax: 336-679-6723
Jerrold Max Evington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057
Cleveland Nathaniel Cockerham Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 704-939-1100
Ms. Wanda J Burger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 W Main St # 400, Yadkinville, NC 27055 Phone: 336-849-7975 Fax: 336-849-7767
Christopher Stewart Sapp, LCMHCA, LCAS, CSI Counselor Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805

Mrs Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP - Medicare Counselor in Yadkinville, NC