Mrs Tracy Lee Kelso, LMHC in St. Petersburg, FL

Mrs Tracy Lee Kelso, LMHC is a medicare enrolled "Counselor - Mental Health" provider in St. Petersburg, Florida. Her current practice location is 3346 49th Street North, Suite 108, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 743-9337.

Mrs Tracy Lee Kelso is licensed to practice in Florida (license number MH11185) 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 1982960837.

Contact Information

	Mrs Tracy Lee Kelso, LMHC
	3346 49th Street North, Suite 108, St. Petersburg, FL 33710-1543
	(727) 743-9337
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy Lee Kelso
Gender	Female
Speciality	Counselor - Mental Health
Location	3346 49th Street North, St. Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982960837
Provider Enumeration Date: 04/04/2012
Last Update Date: 02/13/2020

Medicare PECOS Information:

PECOS PAC ID: 9436378932
Enrollment ID: I20231205000628

Medical Identifiers

Medical identifiers for Mrs Tracy Lee Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982960837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH11185 (Florida)	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 Tracy Lee Kelso allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688

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 Tracy Lee Kelso 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 Tracy Lee Kelso, LMHC 3346 49th Street North, Suite 108, St. Petersburg, FL 33710-1543 Ph: (727) 743-9337	Mrs Tracy Lee Kelso, LMHC 3346 49th Street North, Suite 108, St. Petersburg, FL 33710-1543 Ph: (727) 743-9337

Reviews and Comments

Counselor in St. Petersburg, FL

Nildalia Candelario, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 112th Ave N, #1405, St. Petersburg, FL 33716 Phone: 727-430-6355
Jennifer Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mlk Jr St South, St. Petersburg, FL 33705 Phone: 978-380-2959
Miss Jennifer Romero, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 5th Ave. N., St. Petersburg, FL 33713 Phone: 727-367-2273
Ms. Susan Jane Kayser, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Trinity Lane North, Suite 1205, St. Petersburg, FL 33716 Phone: 727-902-1152
Ms. Ronda Sue Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4995 49th St N, St. Petersburg, FL 33709 Phone: 727-827-7890 Fax: 727-279-4631
Carol F. Albrecht, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6798 Crosswinds Drive, St. Petersburg, FL 33710 Phone: 727-381-9400 Fax: 727-381-9181
Dr. Kristin Suzanne Hoffman, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: Johns Hopkins All Children's Hospital, Cdrc, 880 6th Street South, St. Petersburg, FL 33701 Phone: 727-898-7451

Mrs Tracy Lee Kelso, LMHC - Medicare Counselor in St. Petersburg, FL